EDWARD P MCGONIGLE DDS PC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

EDWARD P

Last Name

MCGONIGLE DDS PC

Business Name

EDWARD P MCGONIGLE DDS PC

Original Issue Date

01/01/1998

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016