BRUCE B COSTAGLI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018837

License Status

INACTIVE

Business

First Name

BRUCE

Middle

Last Name

COSTAGLI

Business Name

BRUCE B COSTAGLI

Original Issue Date

09/22/1983

Effective Date

07/06/2015

Expiration Date

09/30/2018

City

SCHAUMBURG

State

Zip

60194

County

COOK

Ever Disciplined

LastModifiedDate

06/07/2018

Case Number

2001005822

Action

Probation

Discipline Start Date

05/04/2006

Discipline End Date

05/03/2007

Discipline Reason

Due to billing irregularities and failure to maintain appropriate treatment records.