MARTIN A RAGONA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

MARTIN A

Last Name

RAGONA

Suffix

DDS

Business Name

MARTIN A RAGONA DDS

Original Issue Date

01/08/1982

Effective Date

01/08/1982

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005