ANTHONY L MINUTILLO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000470

License Status

NOT RENEWED

Business

First Name

ANTHONY L

Last Name

MINUTILLO

Suffix

DDS

Business Name

ANTHONY L MINUTILLO DDS

Original Issue Date

08/16/1999

Effective Date

08/05/2009

Expiration Date

09/30/2012

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/14/2012