ANTHONY M PUNTILLO DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023486

License Status

INACTIVE

Business

First Name

ANTHONY M

Last Name

PUNTILLO

Suffix

DDS

Business Name

ANTHONY M PUNTILLO DDS

Original Issue Date

12/29/1993

Effective Date

12/29/1993

Expiration Date

09/30/1994

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005