RICHARD A DISIMONI DDS - Dentist License in Illinois | # 018000355

RICHARD A DISIMONI DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000355

License Status

NOT RENEWED

Business

N

First Name

RICHARD A

Last Name

DISIMONI

Suffix

DDS

Business Name

RICHARD A DISIMONI DDS

Original Issue Date

06/14/1989

Effective Date

06/14/1989

Expiration Date

06/30/1990

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005