DONALD J BONOMO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

Title

DDS

First Name

DONALD

Middle

Last Name

BONOMO

Business Name

DONALD J BONOMO DDS

Original Issue Date

05/23/1984

Effective Date

07/20/2015

Expiration Date

09/30/2018

City

SOUTH CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018