COLLEEN A MCGOVERN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

COLLEEN A

Last Name

MCGOVERN

Suffix

DDS

Business Name

COLLEEN A MCGOVERN DDS

Original Issue Date

08/09/1990

Effective Date

08/09/1990

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005