Richard Dean Bazzetta Dds
InactiveIllinois license 019011518
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019011518
- Status
- Inactive
- First issued
- August 6, 1959
- Expired
- September 30, 1994
- License holder
- Richard Dean Bazzetta Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 08/06/1959
Other Illinois licenses under this name
-
IL
ExpiredExpired Sep 30, 1994
Contact
Salem, IL 62881
Marion County