DAVID DOUGLAS MONIN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

Title

DMD

First Name

DAVID

Middle

DOUGLAS

Last Name

MONIN

Business Name

DAVID DOUGLAS MONIN DMD

Original Issue Date

05/28/2020

Effective Date

05/28/2020

Expiration Date

01/31/2022

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022