ANTONIA PETROSINO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

ANTONIA

Last Name

PETROSINO

Suffix

DDS

Business Name

ANTONIA PETROSINO DDS

Original Issue Date

03/14/2003

Effective Date

03/14/2003

Expiration Date

09/30/2004

City

HARWOOD HEIGHTS

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005