ANDREW G CALDIERARO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

CALDIERARO

Suffix

DMD

Business Name

ANDREW G CALDIERARO DMD

Original Issue Date

04/03/2013

Effective Date

09/21/2024

Expiration Date

09/30/2027

City

WOOD RIVER

State

Zip

62095

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/21/2024