RICHARD M BERTOGLIO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

RICHARD M

Last Name

BERTOGLIO

Business Name

RICHARD M BERTOGLIO

Original Issue Date

01/01/1998

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022