MATTHEW B SAGUN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

SAGUN

Suffix

DDS

Business Name

MATTHEW B SAGUN DDS

Original Issue Date

06/21/2006

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60618

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016