ANDREW G CALDIERARO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

ANDREW

Middle

Last Name

CALDIERARO

Suffix

DMD

Business Name

ANDREW G CALDIERARO DMD

Original Issue Date

11/08/2012

Effective Date

11/08/2012

Expiration Date

09/30/2015

City

WOOD RIVER

State

Zip

62095

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016