JEROME MICHAEL COLLETTI DDS - Dentist License in Illinois | # 019014030

JEROME MICHAEL COLLETTI DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014030

License Status

INACTIVE

Business

N

First Name

JEROME MICHAEL

Last Name

COLLETTI

Suffix

DDS

Business Name

JEROME MICHAEL COLLETTI DDS

Original Issue Date

07/08/1971

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

06/04/2009