EUGENE J MINALT DDS - Dentist License in Illinois | # 137000304

EUGENE J MINALT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000304

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

11/08/2006