ELIZABETH PITARO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Last Name

PITARO

Business Name

ELIZABETH PITARO

Original Issue Date

09/20/1985

Effective Date

09/20/1985

Expiration Date

09/30/1990

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005