RALPH EDWARD TARDUGNO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

RALPH EDWARD

Last Name

TARDUGNO

Business Name

RALPH EDWARD TARDUGNO

Original Issue Date

01/13/1984

Effective Date

01/13/1984

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005