RAYMOND ARTHUR BONOMO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

RAYMOND

Middle

ARTHUR

Last Name

BONOMO

Suffix

DMD

Business Name

RAYMOND ARTHUR BONOMO DMD

Original Issue Date

05/24/1999

Effective Date

05/24/1999

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005