DONNA J BOUNDY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000950

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005