DOMINIK B DUBRAVEC Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000367

License Status

ACTIVE

Business

First Name

DOMINIK B

Last Name

DUBRAVEC

Business Name

DOMINIK B DUBRAVEC

Original Issue Date

11/16/1994

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

07/11/2024