ANDREW FRANK PETLAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016812

License Status

ACTIVE

Business

First Name

ANDREW FRANK

Last Name

PETLAK

Business Name

ANDREW FRANK PETLAK

Original Issue Date

07/11/1979

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

08/27/2024