CHARLIE J INGA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

CHARLIE

Middle

Last Name

INGA

Suffix

DDS

Business Name

CHARLIE J INGA DDS

Original Issue Date

12/05/1995

Effective Date

12/05/1995

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005