DOMINIK B DUBRAVEC Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

DOMINIK B

Last Name

DUBRAVEC

Business Name

DOMINIK B DUBRAVEC

Original Issue Date

07/29/2024

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024