ROBERT J SALATA JR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

Title

DDS

First Name

ROBERT

Middle

Last Name

SALATA

Suffix

Business Name

ROBERT J SALATA JR DDS

Original Issue Date

05/04/1990

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024