DENNIS NORMAN DOMATO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023648

License Status

NOT RENEWED

Business

First Name

DENNIS NORMAN

Last Name

DOMATO

Suffix

DMD

Business Name

DENNIS NORMAN DOMATO DMD

Original Issue Date

08/05/1994

Effective Date

08/05/1994

Expiration Date

09/30/2004

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005