License Directory

Jeffrey D Domark Dmd

Expired

Illinois license 31*****76

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
31*****76
Status
Expired (Not Renewed)
First issued
August 26, 2009
Expired
September 30, 2012
License holder
Jeffrey D Domark Dmd
Entity type
Individual

Classifications

  • Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Specialty
Practitioner
Controlled substance schedules
II III IV V
Current term began
08/26/2009

Other Illinois licenses under this name

  • IL
    Jeffrey D Domark Dmd
    License 019026178
    Licensed Dentist (Dental)
    Expired
    Virginia Beach, VA
    Expired Sep 30, 2015
  • IL
    Jeffrey D Domark Dmd
    License 31*****00
    Licensed Dentist Controlled Substance (Dental)
    Expired
    Glen Carbon, IL
    Expired Sep 30, 2009

Contact

Alton, IL 62002
Madison County