RICHARD C PRENDERGAST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

RICHARD C

Last Name

PRENDERGAST

Suffix

DDS

Business Name

RICHARD C PRENDERGAST DDS

Original Issue Date

11/01/1983

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022