JOHN E MINALT DDS - Dentist License in Illinois | # 137000349

JOHN E MINALT DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000349

License Status

NOT RENEWED

Business

N

First Name

JOHN E

Last Name

MINALT

Suffix

DDS

Business Name

JOHN E MINALT DDS

Original Issue Date

01/12/1994

Effective Date

01/12/1994

Expiration Date

09/30/1996

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

10/13/2005