IVAN A VALCARENGHI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

IVAN A

Last Name

VALCARENGHI

Business Name

IVAN A VALCARENGHI

Original Issue Date

08/28/1986

Effective Date

08/28/1986

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005