DONNA J BOUNDY DMD - Dentist License in Illinois | # 018000950

DONNA J BOUNDY DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000950

License Status

NOT RENEWED

Business

N

First Name

DONNA

Middle

J

Last Name

BOUNDY

Suffix

DMD

Business Name

DONNA J BOUNDY DMD

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005