JEROME MICHAEL COLLETTI DDS - Dentist License in Illinois | # 021000810

JEROME MICHAEL COLLETTI DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000810

License Status

INACTIVE

Business

N

First Name

JEROME MICHAEL

Last Name

COLLETTI

Suffix

DDS

Business Name

JEROME MICHAEL COLLETTI DDS

Original Issue Date

01/14/1975

Effective Date

07/24/2006

Expiration Date

09/30/2009

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

06/04/2009