JOSEPH A MUSSO 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

JOSEPH A

Last Name

MUSSO

Business Name

JOSEPH A MUSSO

Original Issue Date

10/22/1982

Effective Date

07/19/2012

Expiration Date

09/30/2015

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016