PATRICIA BONGARD GAUDIO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003926

License Status

ACTIVE

Business

First Name

PATRICIA BONGARD

Last Name

GAUDIO

Business Name

PATRICIA BONGARD GAUDIO

Original Issue Date

07/23/1979

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

09/17/2024