FRANK RAYMOND PETLAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010517

License Status

NOT RENEWED

Business

First Name

FRANK RAYMOND

Last Name

PETLAK

Suffix

DDS

Business Name

FRANK RAYMOND PETLAK DDS

Original Issue Date

08/06/1954

Effective Date

08/06/1954

Expiration Date

09/30/2000

City

NILES

State

Zip

60648

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005