REBECCA JOSEPHINE EGOLF DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001276

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

JOSEPHINE

Last Name

EGOLF

Suffix

DMD

Business Name

REBECCA JOSEPHINE EGOLF DMD

Original Issue Date

11/25/1985

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

02/08/2016