RODNEY J VERGOTINE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

RODNEY

Middle

Last Name

VERGOTINE

Business Name

RODNEY J VERGOTINE

Original Issue Date

08/04/1997

Effective Date

09/18/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022