MICHAEL PETER MONTALEONE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHAEL

Middle

PETER

Last Name

MONTALEONE

Business Name

MICHAEL PETER MONTALEONE DDS

Original Issue Date

01/01/1998

Effective Date

09/14/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016