ANTHONY GENE POLITO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

ANTHONY GENE

Last Name

POLITO

Suffix

DDS

Business Name

ANTHONY GENE POLITO DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006