ANTHONY MARK PALLOTTO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

Title

DDS

First Name

ANTHONY

Middle

MARK

Last Name

PALLOTTO

Business Name

ANTHONY MARK PALLOTTO DDS

Original Issue Date

10/01/2018

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

LANSING

State

Zip

60438

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024