ALAN R DEANGELO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

Last Name

DEANGELO

Business Name

ALAN R DEANGELO

Original Issue Date

03/02/1983

Effective Date

03/02/1983

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005