ERIC W EGLI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

ERIC W

Last Name

EGLI

Business Name

ERIC W EGLI

Original Issue Date

11/13/1989

Effective Date

11/13/1989

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005