Michael C Defazio
ExpiredIllinois license 31*****88
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****88
- Status
- Expired (Not Renewed)
- First issued
- October 3, 2013
- Expired
- September 30, 2015
- License holder
- Michael C Defazio
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III IV V
- Current term began
- 10/03/2013
Other Illinois licenses under this name
-
IL
ActiveSan Diego, CAExpires Sep 30, 2027
Contact
Great Lakes, IL 60088
Lake County