DAVID KENT GIOVAGNOLI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013599

License Status

NOT RENEWED

Business

First Name

DAVID KENT

Last Name

GIOVAGNOLI

Suffix

DMD

Business Name

DAVID KENT GIOVAGNOLI DMD

Original Issue Date

07/14/1969

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

11/08/2006