DANIELA S K EVERSGERD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

DANIELA

Middle

S K

Last Name

EVERSGERD

Suffix

DMD

Business Name

DANIELA S K EVERSGERD DMD

Original Issue Date

11/12/2002

Effective Date

11/12/2002

Expiration Date

09/30/2004

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005