JEROME MICHAEL COLLETTI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000810

License Status

INACTIVE

Business

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

City

SUGAR GROVE

State

Zip

60554

County

KANE

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

06/04/2009