ALFRED D SAGALL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

ALFRED D

Last Name

SAGALL

Business Name

ALFRED D SAGALL

Original Issue Date

10/09/1986

Effective Date

08/13/2015

Expiration Date

09/30/2018

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018