MARK J GARGIULO DDS - Dentist License in Illinois | # 018000398

MARK J GARGIULO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000398

License Status

NOT RENEWED

Business

N

First Name

MARK J

Last Name

GARGIULO

Suffix

DDS

Business Name

MARK J GARGIULO DDS

Original Issue Date

10/05/1989

Effective Date

10/05/1989

Expiration Date

07/31/1991

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005