EDUARDO DIMALANTA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016201

License Status

NOT RENEWED

Business

Title

DMD

First Name

EDUARDO

Last Name

DIMALANTA

Business Name

EDUARDO DIMALANTA DMD

Original Issue Date

01/19/1978

Effective Date

09/25/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016