License holder summary

Anthony Di Costanzo is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Anthony Di Costanzo is 1123 Joliet Street, Dyer IN 46311. This licensed professional license is current. The license was granted 03/27/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Anthony Di Costanzo
Controlled Substance Registration - Dentist
License number
12007851B
Date granted
03/27/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1123 Joliet Street, Dyer IN 46311
indianalicensing.org
ID 5089876
LAST UPDATED 2024-02-17 00:36:07 UTC

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