MARK L VITALE - Dentist License in Illinois | # 019021163

MARK L VITALE

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021163

License Status

NOT RENEWED

Business

N

First Name

MARK L

Last Name

VITALE

Business Name

MARK L VITALE

Original Issue Date

07/27/1988

Effective Date

08/30/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022