DAVID DOMINGUEZ

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****90

ACTIVE

N

DAVID

DOMINGUEZ

DAVID DOMINGUEZ

12/17/2018

08/03/2024

09/30/2027

NORTH AURORA

IL

60542

KANE

PRACTITIONER

II III IV V

N

08/03/2024