THOMAS L PRENDERGAST 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

THOMAS L

Last Name

PRENDERGAST

Suffix

DDS

Business Name

THOMAS L PRENDERGAST DDS

Original Issue Date

03/19/1991

Effective Date

03/19/1991

Expiration Date

09/30/2006

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2007