ANTHONY WILLIAM GARGIULO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

ANTHONY WILLIAM

Last Name

GARGIULO

Business Name

ANTHONY WILLIAM GARGIULO

Original Issue Date

11/15/1985

Effective Date

11/15/1985

Expiration Date

09/30/1994

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005