RONALD J PICCHETTI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

RONALD J

Last Name

PICCHETTI

Business Name

RONALD J PICCHETTI

Original Issue Date

08/12/1991

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024