EUGENE J MINALT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000304

License Status

NOT RENEWED

Business

First Name

EUGENE J

Last Name

MINALT

Suffix

DDS

Business Name

EUGENE J MINALT DDS

Original Issue Date

12/05/1991

Effective Date

12/05/1991

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/08/2006