KEVIN MARTIN BARGAMIAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

KEVIN

Middle

MARTIN

Last Name

BARGAMIAN

Suffix

DMD

Business Name

KEVIN MARTIN BARGAMIAN DMD

Original Issue Date

09/21/1998

Effective Date

06/21/2024

Expiration Date

09/30/2027

City

CRESTWOOD

State

Zip

60418

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2024