ROBERT ANTHONY COLANTINO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

ROBERT ANTHONY

Last Name

COLANTINO

Suffix

DDS

Business Name

ROBERT ANTHONY COLANTINO DDS

Original Issue Date

01/01/1998

Effective Date

08/29/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016