PHILIP RICHARD FRYSTAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019338

License Status

NOT RENEWED

Business

First Name

PHILIP RICHARD

Last Name

FRYSTAK

Business Name

PHILIP RICHARD FRYSTAK

Original Issue Date

09/26/1984

Effective Date

12/09/2021

Expiration Date

09/30/2024

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

02/04/2025