JASON R CRESCENZO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

JASON

Middle

Last Name

CRESCENZO

Suffix

DDS

Business Name

JASON R CRESCENZO DDS

Original Issue Date

02/15/2008

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024