NASREEN GAGAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

NASREEN

Last Name

GAGAN

Business Name

NASREEN GAGAN

Original Issue Date

11/08/1990

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022