JOSEPHINE ANNE LAROCCA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

JOSEPHINE ANNE

Last Name

LAROCCA

Suffix

DMD

Business Name

JOSEPHINE ANNE LAROCCA DMD

Original Issue Date

01/01/1998

Effective Date

07/12/2012

Expiration Date

09/30/2015

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016