IRINEO MARVIN PANTANGCO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

First Name

IRINEO

Middle

MARVIN

Last Name

PANTANGCO

Suffix

DDS

Business Name

IRINEO MARVIN PANTANGCO DDS

Original Issue Date

10/01/2004

Effective Date

10/01/2004

Expiration Date

09/30/2006

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2007