THOMAS L PRENDERGAST DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

ACTIVE

Business

First Name

THOMAS L

Last Name

PRENDERGAST

Suffix

DDS

Business Name

THOMAS L PRENDERGAST DDS

Original Issue Date

10/16/2008

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

FOX LAKE

State

Zip

60020

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2024