PETER S DOMAGALA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

PETER S

Last Name

DOMAGALA

Suffix

DDS

Business Name

PETER S DOMAGALA DDS

Original Issue Date

01/12/1993

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024