ALPHONSE V GARGIULO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

ALPHONSE

Middle

Last Name

GARGIULO

Suffix

DDS

Business Name

ALPHONSE V GARGIULO DDS

Original Issue Date

07/03/1985

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022