JEFFERY EDMUND TAUGNER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

JEFFERY EDMUND

Last Name

TAUGNER

Business Name

JEFFERY EDMUND TAUGNER

Original Issue Date

08/16/1984

Effective Date

11/12/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018