RALPH F MADONNA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012632

License Status

NOT RENEWED

Business

First Name

RALPH

Middle

Last Name

MADONNA

Suffix

DDS

Business Name

RALPH F MADONNA DDS

Original Issue Date

11/25/1964

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2012