BERNARD DOMINIC COLONNA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

BERNARD

Middle

DOMINIC

Last Name

COLONNA

Business Name

BERNARD DOMINIC COLONNA

Original Issue Date

06/10/2011

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2024