TONI O ELUGBADEBO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

Title

DMD

First Name

TONI

Middle

Last Name

ELUGBADEBO

Business Name

TONI O ELUGBADEBO DMD

Original Issue Date

08/07/2015

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022