ELMER PETULIK VICTOR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019006761

License Status

NOT RENEWED

Business

First Name

ELMER PETULIK

Last Name

VICTOR

Business Name

ELMER PETULIK VICTOR

Original Issue Date

11/28/1940

Effective Date

11/28/1940

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005