RICHARD M VALLESE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

RICHARD M

Last Name

VALLESE

Business Name

RICHARD M VALLESE

Original Issue Date

09/04/1985

Effective Date

09/04/1985

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60603

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005