MILONA D VAN KANEGAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

MILONA D

Last Name

VAN KANEGAN

Business Name

MILONA D VAN KANEGAN

Original Issue Date

03/10/2009

Effective Date

06/23/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/31/2018