DIRK MICHAEL DONOVAN - Dentist License in Illinois | # 019026501

DIRK MICHAEL DONOVAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026501

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010