JOHN M DOMANICO - Dentist License in Illinois | # 137000090

JOHN M DOMANICO

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000090

License Status

ACTIVE

Business

N

First Name

JOHN M

Last Name

DOMANICO

Business Name

JOHN M DOMANICO

Original Issue Date

01/01/1998

Effective Date

05/14/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

05/14/2024