RONALD J PICCHETTI 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

RONALD J

Last Name

PICCHETTI

Business Name

RONALD J PICCHETTI

Original Issue Date

09/27/1988

Effective Date

09/27/1988

Expiration Date

09/30/1994

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005