EDWARD T MCGONIGAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

EDWARD T

Last Name

MCGONIGAL

Suffix

DDS

Business Name

EDWARD T MCGONIGAL DDS

Original Issue Date

08/31/1984

Effective Date

08/31/1984

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005