DONALD ANTHONY CAROLLO DDS - Dentist License in Illinois | # 021000542

DONALD ANTHONY CAROLLO DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000542

License Status

INACTIVE

Business

N

First Name

DONALD ANTHONY

Last Name

CAROLLO

Suffix

DDS

Business Name

DONALD ANTHONY CAROLLO DDS

Original Issue Date

12/07/1967

Effective Date

12/07/1967

Expiration Date

09/30/1994

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005