ANTHONY T CHIODO III Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

ANTHONY T

Last Name

CHIODO III

Business Name

ANTHONY T CHIODO III

Original Issue Date

09/22/1988

Effective Date

09/22/1988

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60621

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005