MARK J GARGIULO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

GARGIULO

Suffix

DDS

Business Name

MARK J GARGIULO DDS

Original Issue Date

12/26/1989

Effective Date

12/26/1989

Expiration Date

09/30/1994

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005