ROMAN DANIEL JOH MYCYK JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016828

License Status

NOT RENEWED

Business

First Name

ROMAN DANIEL JOH

Last Name

MYCYK JR

Suffix

DDS

Business Name

ROMAN DANIEL JOH MYCYK JR DDS

Original Issue Date

07/13/1979

Effective Date

09/25/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025