RYAN J COLLETTA - Dentist License in Illinois | # 019029117

RYAN J COLLETTA

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029117

License Status

NOT RENEWED

Business

N

First Name

RYAN

Middle

J

Last Name

COLLETTA

Business Name

RYAN J COLLETTA

Original Issue Date

07/11/2012

Effective Date

07/11/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016