ANTOINETTE M SEVERINO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

ANTOINETTE M

Last Name

SEVERINO

Business Name

ANTOINETTE M SEVERINO

Original Issue Date

08/22/1985

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

BROOKFIELD

State

Zip

60513

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009