LISA CAROL PERRONE 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

Title

DDS

First Name

LISA

Middle

CAROL

Last Name

PERRONE

Business Name

LISA CAROL PERRONE DDS

Original Issue Date

10/10/2013

Effective Date

10/10/2013

Expiration Date

09/30/2015

City

GREAT LAKES

State

Zip

60088

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016