RICHARD JOSEPH WITEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011681

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

JOSEPH

Last Name

WITEK

Business Name

RICHARD JOSEPH WITEK

Original Issue Date

07/27/1960

Effective Date

08/31/2012

Expiration Date

09/30/2015

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016