PHILIP M MONTEFALCO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021980

License Status

NOT RENEWED

Business

First Name

PHILIP M

Last Name

MONTEFALCO

Suffix

DDS

Business Name

PHILIP M MONTEFALCO DDS

Original Issue Date

03/24/1990

Effective Date

03/24/1990

Expiration Date

09/30/1994

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005