CHARLES A AMENTA JR DDS - Dentist License in Illinois | # 019010565

CHARLES A AMENTA JR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010565

License Status

NOT RENEWED

Business

N

First Name

CHARLES A

Last Name

AMENTA JR

Suffix

DDS

Business Name

CHARLES A AMENTA JR DDS

Original Issue Date

08/17/1954

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2006