ANTHONY J COLETTA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

ANTHONY J

Last Name

COLETTA

Suffix

DDS

Business Name

ANTHONY J COLETTA DDS

Original Issue Date

11/30/1992

Effective Date

11/30/1992

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005