RODOLFO E BIANCO 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

RODOLFO E

Last Name

BIANCO

Suffix

DDS

Business Name

RODOLFO E BIANCO DDS

Original Issue Date

12/08/1992

Effective Date

12/08/1992

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005