URSULA MCGUCKIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

URSULA

Last Name

MCGUCKIN

Business Name

URSULA MCGUCKIN

Original Issue Date

03/19/2019

Effective Date

03/19/2019

Expiration Date

01/31/2022

City

NAPERVILLE

State

Zip

60564

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022