JOHN ANTHONY VALLONE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

JOHN ANTHONY

Last Name

VALLONE

Business Name

JOHN ANTHONY VALLONE

Original Issue Date

09/14/1984

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024