CHARLES CONRAD BONA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011994

License Status

INACTIVE

Business

First Name

CHARLES CONRAD

Last Name

BONA

Suffix

DDS

Business Name

CHARLES CONRAD BONA DDS

Original Issue Date

09/07/1961

Effective Date

09/07/1961

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005