JOHN THEODORE DOMINICI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

JOHN THEODORE

Last Name

DOMINICI

Business Name

JOHN THEODORE DOMINICI

Original Issue Date

08/31/1984

Effective Date

08/31/1984

Expiration Date

09/30/1986

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005