DOMINIC E BOFFA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000287

License Status

NOT RENEWED

Business

First Name

DOMINIC

Middle

Last Name

BOFFA

Suffix

DDS

Business Name

DOMINIC E BOFFA DDS

Original Issue Date

03/26/1991

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/04/2009