PERRY E ROSSINO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

PERRY E

Last Name

ROSSINO

Business Name

PERRY E ROSSINO

Original Issue Date

03/11/1992

Effective Date

03/11/1992

Expiration Date

09/30/1992

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005