MICHELE T BOGACKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

MICHELE T

Last Name

BOGACKI

Suffix

DDS

Business Name

MICHELE T BOGACKI DDS

Original Issue Date

06/17/1991

Effective Date

06/25/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022