ANTHONY WILLIAM GARGIULO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

ANTHONY WILLIAM

Last Name

GARGIULO

Business Name

ANTHONY WILLIAM GARGIULO

Original Issue Date

01/01/1998

Effective Date

07/25/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022