GARY ANTHONY CAROLLO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

GARY ANTHONY

Last Name

CAROLLO

Business Name

GARY ANTHONY CAROLLO

Original Issue Date

08/19/1983

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025