JON L LOGULLO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

First Name

JON L

Last Name

LOGULLO

Suffix

DMD

Business Name

JON L LOGULLO DMD

Original Issue Date

07/07/1993

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

GREENVILLE

State

Zip

62246

County

BOND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024