MAINA DIMENT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

MAINA

Last Name

DIMENT

Suffix

DDS

Business Name

MAINA DIMENT DDS

Original Issue Date

08/04/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009