MARK L VITALE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021163

License Status

NOT RENEWED

Business

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

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2022