LEE ROY BOMGAARS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000637

License Status

INACTIVE

Business

First Name

LEE

Middle

ROY

Last Name

BOMGAARS

Suffix

DDS

Business Name

LEE ROY BOMGAARS DDS

Original Issue Date

12/08/1969

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018