ANTHONY C LULLO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

ANTHONY C

Last Name

LULLO

Business Name

ANTHONY C LULLO

Original Issue Date

08/19/1983

Effective Date

06/18/2012

Expiration Date

09/30/2015

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016