DIRK MICHAEL DONOVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026501

License Status

NOT RENEWED

Business

First Name

DIRK

Middle

MICHAEL

Last Name

DONOVAN

Business Name

DIRK MICHAEL DONOVAN

Original Issue Date

06/30/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2010