JUSTINA MARIE DAGOSTINI DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001785

License Status

EXPIRED

Business

First Name

JUSTINA

Middle

MARIE

Last Name

DAGOSTINI

Suffix

DMD

Business Name

JUSTINA MARIE DAGOSTINI DMD

Original Issue Date

07/29/2010

Effective Date

08/09/2010

Expiration Date

05/01/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

05/15/2013