CONRAD MAGNO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026625

License Status

NOT RENEWED

Business

First Name

CONRAD

Last Name

MAGNO

Suffix

DDS

Business Name

CONRAD MAGNO DDS

Original Issue Date

12/02/2004

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018

Case Number

2017005585

Action

Suspension

Discipline Start Date

08/25/2017

Discipline End Date

05/29/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 05/30/2019.