DENISE ADEGOKE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

Title

DMD

First Name

DENISE

Last Name

ADEGOKE

Business Name

DENISE ADEGOKE DMD

Original Issue Date

08/07/2018

Effective Date

08/07/2018

Expiration Date

01/31/2022

City

MARION

State

Zip

62959

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022