BARBARA DELISA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

BARBARA

Last Name

DELISA

Business Name

BARBARA DELISA

Original Issue Date

12/03/1987

Effective Date

12/03/1987

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005