VITTORIA MADIA PONTARELLI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

VITTORIA

Middle

MADIA

Last Name

PONTARELLI

Suffix

DDS

Business Name

VITTORIA MADIA PONTARELLI DDS

Original Issue Date

12/03/1998

Effective Date

12/03/1998

Expiration Date

09/30/2000

City

OAK PARK

State

Zip

60301

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005