DOMINIC A COLLETTI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

DOMINIC A

Last Name

COLLETTI

Business Name

DOMINIC A COLLETTI

Original Issue Date

08/25/1986

Effective Date

06/26/2024

Expiration Date

09/30/2027

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2024