JAMES WALTER MCGOUGH DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000219

License Status

INACTIVE

Business

First Name

JAMES

Middle

WALTER

Last Name

MCGOUGH

Suffix

DDS

Business Name

JAMES WALTER MCGOUGH DDS

Original Issue Date

02/15/1990

Effective Date

09/07/2012

Expiration Date

09/30/2015

City

AURORA

State

Zip

60506

County

KANE

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

06/08/2015