STEPHANIE MARIKO COLLETTA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028819

License Status

NOT RENEWED

Business

Title

DDS

First Name

STEPHANIE

Middle

MARIKO

Last Name

COLLETTA

Business Name

STEPHANIE MARIKO COLLETTA DDS

Original Issue Date

08/02/2011

Effective Date

08/27/2012

Expiration Date

09/30/2015

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016