DAVID A RUGGIO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

RUGGIO

Suffix

DDS

Business Name

DAVID A RUGGIO DDS

Original Issue Date

03/06/2006

Effective Date

05/28/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012