ROBERT ANTHONY COLANTINO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

ROBERT ANTHONY

Last Name

COLANTINO

Suffix

DDS

Business Name

ROBERT ANTHONY COLANTINO DDS

Original Issue Date

09/18/1986

Effective Date

09/18/1986

Expiration Date

09/30/1994

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005