ANGELA BOGACKI SKIDMORE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

First Name

ANGELA

Middle

BOGACKI

Last Name

SKIDMORE

Business Name

ANGELA BOGACKI SKIDMORE

Original Issue Date

08/05/2002

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

BARTLETT

State

Zip

60103

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/09/2024