DOMINICA M TALLARICO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006842

License Status

NOT RENEWED

Business

First Name

DOMINICA M

Last Name

TALLARICO

Business Name

DOMINICA M TALLARICO

Original Issue Date

10/22/1988

Effective Date

10/22/1988

Expiration Date

09/30/2000

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005