EVELYN FORNAGIEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035071

License Status

ACTIVE

Business

Title

DMD

First Name

EVELYN

Last Name

FORNAGIEL

Business Name

EVELYN FORNAGIEL DMD

Original Issue Date

05/21/2024

Effective Date

05/21/2024

Expiration Date

09/30/2027

City

ARLINGTON HTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2024