JOHN GEORGE BONAGURO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

JOHN GEORGE

Last Name

BONAGURO

Suffix

DDS

Business Name

JOHN GEORGE BONAGURO DDS

Original Issue Date

10/12/1982

Effective Date

09/28/2009

Expiration Date

09/30/2012

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012