DOMINIC P RACHIELE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001025

License Status

NOT RENEWED

Business

First Name

DOMINIC

Middle

Last Name

RACHIELE

Business Name

DOMINIC P RACHIELE

Original Issue Date

06/20/1997

Effective Date

06/20/1997

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005