ANTHONY J MONTELLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

MONTELLA

Suffix

DDS

Business Name

ANTHONY J MONTELLA DDS

Original Issue Date

05/23/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009