MILONA D VAN KANEGAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

MILONA D

Last Name

VAN KANEGAN

Business Name

MILONA D VAN KANEGAN

Original Issue Date

10/16/1995

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009