EDWARD T MCGONIGAL DDS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106962

License Status

NOT RENEWED

Business

First Name

EDWARD T

Last Name

MCGONIGAL

Suffix

DDS

Business Name

EDWARD T MCGONIGAL DDS

Original Issue Date

05/13/2002

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

OMAHA

State

Zip

68135

County

NEBRASKA

Ever Disciplined

LastModifiedDate

11/01/2017