PETER MICHAEL COLETTI DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

INOPERATIVE

Business

First Name

PETER

Middle

MICHAEL

Last Name

COLETTI

Suffix

DDS

Business Name

PETER MICHAEL COLETTI DDS

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

09/30/2000

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005