RONALD ANTHONY ZAMBALDI 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

RONALD ANTHONY

Last Name

ZAMBALDI

Business Name

RONALD ANTHONY ZAMBALDI

Original Issue Date

07/30/1985

Effective Date

02/05/2019

Expiration Date

01/31/2022

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022