NEIL R B BONJE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001045

License Status

NOT RENEWED

Business

First Name

NEIL

Middle

R B

Last Name

BONJE

Suffix

DDS

Business Name

NEIL R B BONJE DDS

Original Issue Date

07/11/1997

Effective Date

07/11/1997

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005