SALVATORE ALBERT SCIORTINO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

SALVATORE ALBERT

Last Name

SCIORTINO

Suffix

DDS

Business Name

SALVATORE ALBERT SCIORTINO DDS

Original Issue Date

01/01/1998

Effective Date

08/17/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016