DOMINIK B DUBRAVEC Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

DOMINIK B

Last Name

DUBRAVEC

Business Name

DOMINIK B DUBRAVEC

Original Issue Date

08/31/1989

Effective Date

07/12/2024

Expiration Date

09/30/2027

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2024