ANTHONY GENE POLITO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012771

License Status

NOT RENEWED

Business

First Name

ANTHONY GENE

Last Name

POLITO

Suffix

DDS

Business Name

ANTHONY GENE POLITO DDS

Original Issue Date

07/15/1965

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006