MARK R CREGO DDS 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

MARK R

Last Name

CREGO

Suffix

DDS

Business Name

MARK R CREGO DDS

Original Issue Date

08/28/1987

Effective Date

08/28/1987

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005