VERNON R BOMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

VERNON R

Last Name

BOMAN

Suffix

DDS

Business Name

VERNON R BOMAN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005