CHARLES A AMENTA JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010565

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

AMENTA JR

Suffix

DDS

Business Name

CHARLES A AMENTA JR DDS

Original Issue Date

08/17/1954

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006