ANTON JOHN CAROLLO JR , DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

CANCELLED

Business

First Name

ANTON JOHN

Last Name

CAROLLO JR ,

Suffix

DDS

Business Name

ANTON JOHN CAROLLO JR , DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006