JEFFREY T TOMAMICHEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

JEFFREY T

Last Name

TOMAMICHEL

Business Name

JEFFREY T TOMAMICHEL

Original Issue Date

01/20/1989

Effective Date

01/20/1989

Expiration Date

09/30/1990

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005