ANTHONY R LOMBARDI Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

CANCELLED

Business

First Name

ANTHONY R

Last Name

LOMBARDI

Business Name

ANTHONY R LOMBARDI

Original Issue Date

09/05/1986

Effective Date

09/05/1986

Expiration Date

09/30/1992

City

PEOTONE

State

Zip

60468

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005