RYAN J COLLETTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029117

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

Last Name

COLLETTA

Business Name

RYAN J COLLETTA

Original Issue Date

07/11/2012

Effective Date

07/11/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016