DIRK MICHAEL DONOVAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002158

License Status

NOT RENEWED

Business

First Name

DIRK

Middle

MICHAEL

Last Name

DONOVAN

Business Name

DIRK MICHAEL DONOVAN

Original Issue Date

09/01/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

11/04/2009