PHILIP DEBOSSU Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

ACTIVE

Business

First Name

PHILIP

Last Name

DEBOSSU

Business Name

PHILIP DEBOSSU

Original Issue Date

09/30/1988

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2024