ATHINA J DANIGELES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

ATHINA

Middle

Last Name

DANIGELES

Business Name

ATHINA J DANIGELES

Original Issue Date

10/07/1987

Effective Date

06/22/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012