JOHN BATISTA CALDIERARO III Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

First Name

JOHN

Middle

BATISTA

Last Name

CALDIERARO

Suffix

III

Business Name

JOHN BATISTA CALDIERARO III

Original Issue Date

07/23/2008

Effective Date

06/26/2024

Expiration Date

09/30/2027

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2024