SCOTT P FOGEL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026391

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

FOGEL

Suffix

DDS

Business Name

SCOTT P FOGEL DDS

Original Issue Date

05/28/2004

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/24/2024