KENNETH C SZURGOT DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

KENNETH

Middle

Last Name

SZURGOT

Suffix

DDS

Business Name

KENNETH C SZURGOT DDS

Original Issue Date

12/29/2003

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2024