NORA M DONATELLI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

NORA M

Last Name

DONATELLI

Suffix

DDS

Business Name

NORA M DONATELLI DDS

Original Issue Date

03/09/1999

Effective Date

03/09/1999

Expiration Date

09/30/2002

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005