SCOTT P FOGEL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008456

License Status

INACTIVE

Business

First Name

SCOTT

Middle

Last Name

FOGEL

Suffix

DDS

Business Name

SCOTT P FOGEL DDS

Original Issue Date

06/17/1995

Effective Date

06/17/1995

Expiration Date

09/30/2004

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/17/2005