DARREN A ALTADONNA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

First Name

DARREN A

Last Name

ALTADONNA

Business Name

DARREN A ALTADONNA

Original Issue Date

10/20/1995

Effective Date

08/03/2024

Expiration Date

09/30/2027

City

HIGHLAND

State

Zip

62249

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/03/2024