DIRK MICHAEL DONOVAN - Dentist License in Illinois | # 021002158

DIRK MICHAEL DONOVAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002158

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

11/04/2009