COL JOHN J TARSITANO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

COL JOHN J

Last Name

TARSITANO

Business Name

COL JOHN J TARSITANO

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005