WALTER F RONGEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

WALTER F

Last Name

RONGEY

Business Name

WALTER F RONGEY

Original Issue Date

01/21/2016

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022