LEE ROY BOMGAARS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

LEE

Middle

ROY

Last Name

BOMGAARS

Suffix

DDS

Business Name

LEE ROY BOMGAARS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006