DOMINIC E BOFFA DDS - Dentist License in Illinois | # 019015987

DOMINIC E BOFFA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015987

License Status

NOT RENEWED

Business

N

First Name

DOMINIC

Middle

E

Last Name

BOFFA

Suffix

DDS

Business Name

DOMINIC E BOFFA DDS

Original Issue Date

06/28/1977

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

Y

LastModifiedDate

02/22/2011

Case Number

2009005272

Action

Reprimand

Discipline Start Date

03/26/2010

Discipline Reason

for failure to provide proof of continuing education requirements.