ALFRED JOSEPH TANTILLO DDS - Dentist License in Illinois | # 019010113

ALFRED JOSEPH TANTILLO DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010113

License Status

INACTIVE

Business

N

First Name

ALFRED JOSEPH

Last Name

TANTILLO

Suffix

DDS

Business Name

ALFRED JOSEPH TANTILLO DDS

Original Issue Date

08/18/1952

Effective Date

08/18/1952

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005