RICHARD C PRENDERGAST DDS - Dentist License in Illinois | # 021000596

RICHARD C PRENDERGAST DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000596

License Status

NOT RENEWED

Business

N

First Name

RICHARD C

Last Name

PRENDERGAST

Suffix

DDS

Business Name

RICHARD C PRENDERGAST DDS

Original Issue Date

12/19/1968

Effective Date

06/07/2018

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

05/09/2022