Sam Michael Ciccarelli Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019015534

Status

Active

First issued

July 13, 1976

Expires

September 30, 2027

License holder

Sam Michael Ciccarelli Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

05/01/2024

Ever disciplined

Yes

Discipline case

2014011088

Discipline action

Suspension

Discipline reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 06/08/2017.

Discipline dates

02/13/2015 to 06/07/2017

Other Illinois licenses under this name

• IL
  Sam Michael Ciccarelli Dds

  License 31*****79

  Licensed Dentist Controlled Substance (Dental)
  Active

  Chicago, IL

  Expires Sep 30, 2027

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