ANTHONY T DICOSTANZO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017126

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

DICOSTANZO

Suffix

DDS

Business Name

ANTHONY T DICOSTANZO DDS

Original Issue Date

07/01/1980

Effective Date

12/22/2021

Expiration Date

09/30/2024

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

02/04/2025