JOHN FRED CASSIANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

FRED

Last Name

CASSIANI

Suffix

DDS

Business Name

JOHN FRED CASSIANI DDS

Original Issue Date

02/13/1990

Effective Date

02/13/1990

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005