CHARLES HENRY MARGIOTTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

CHARLES HENRY

Last Name

MARGIOTTA

Business Name

CHARLES HENRY MARGIOTTA

Original Issue Date

08/22/1985

Effective Date

08/22/1985

Expiration Date

09/30/1986

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005