ANTHONY T DICOSTANZO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

DICOSTANZO

Suffix

DDS

Business Name

ANTHONY T DICOSTANZO DDS

Original Issue Date

01/01/1998

Effective Date

08/27/2012

Expiration Date

09/30/2015

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016