GIOVANNI TONY ARISTODEMO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

GIOVANNI

Middle

TONY

Last Name

ARISTODEMO

Suffix

DDS

Business Name

GIOVANNI TONY ARISTODEMO DDS

Original Issue Date

12/03/1998

Effective Date

12/03/1998

Expiration Date

09/30/2000

City

OSWEGO

State

Zip

60543

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005