DONNA BARBAGLIAOLSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

DONNA

Last Name

BARBAGLIAOLSEN

Business Name

DONNA BARBAGLIAOLSEN

Original Issue Date

10/21/1985

Effective Date

10/21/1985

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005