ANTHONY J MONTELLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001127

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

MONTELLA

Suffix

DDS

Business Name

ANTHONY J MONTELLA DDS

Original Issue Date

09/14/1998

Effective Date

09/14/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005