ANTHONY VINCENT MADONIA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

ANTHONY VINCENT

Last Name

MADONIA

Business Name

ANTHONY VINCENT MADONIA

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60635

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005