RICHARD ADAM BONA JR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

First Name

RICHARD ADAM

Last Name

BONA JR

Suffix

DDS

Business Name

RICHARD ADAM BONA JR DDS

Original Issue Date

01/01/1998

Effective Date

06/11/2024

Expiration Date

09/30/2027

City

LANSING

State

Zip

60438

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/11/2024