DANIEL MICHAL DOMAGALA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

DANIEL

Middle

MICHAL

Last Name

DOMAGALA

Suffix

DDS

Business Name

DANIEL MICHAL DOMAGALA DDS

Original Issue Date

03/03/2009

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2024