AMY JO MONTEFALCO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

AMY JO

Last Name

MONTEFALCO

Suffix

DDS

Business Name

AMY JO MONTEFALCO DDS

Original Issue Date

11/24/1992

Effective Date

11/24/1992

Expiration Date

09/30/1994

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005