CONRAD MAGNO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000681

License Status

NOT RENEWED

Business

First Name

CONRAD

Last Name

MAGNO

Suffix

DDS

Business Name

CONRAD MAGNO DDS

Original Issue Date

08/01/2006

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

10/31/2018