ANTHONY MARK PALLOTTO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

Title

DDS

First Name

ANTHONY

Middle

MARK

Last Name

PALLOTTO

Business Name

ANTHONY MARK PALLOTTO DDS

Original Issue Date

10/14/2016

Effective Date

07/10/2018

Expiration Date

01/31/2022

City

LANSING

State

Zip

60438

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022