WANDA ROGALSKA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

WANDA

Last Name

ROGALSKA

Business Name

WANDA ROGALSKA

Original Issue Date

04/22/1985

Effective Date

06/10/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012