ROBERT ANTHONY COLANTINO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000116

License Status

NOT RENEWED

Business

First Name

ROBERT ANTHONY

Last Name

COLANTINO

Suffix

DDS

Business Name

ROBERT ANTHONY COLANTINO DDS

Original Issue Date

01/01/1998

Effective Date

08/29/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

02/08/2016