MARK JOSEPH DARGENE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

MARK JOSEPH

Last Name

DARGENE

Suffix

DDS

Business Name

MARK JOSEPH DARGENE DDS

Original Issue Date

01/01/1998

Effective Date

06/29/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61125

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016