SCOTT P FOGEL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

SCOTT

Middle

Last Name

FOGEL

Suffix

DDS

Business Name

SCOTT P FOGEL DDS

Original Issue Date

05/28/2004

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024