RICHARD A DISIMONI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000355

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005