RANDALL C LETELLIER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026301

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

Last Name

LETELLIER

Suffix

DMD

Business Name

RANDALL C LETELLIER DMD

Original Issue Date

10/20/2003

Effective Date

09/28/2015

Expiration Date

09/30/2018

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/31/2018

Case Number

2015008221

Action

Suspension

Discipline Start Date

11/29/2015

Discipline End Date

06/28/2018

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 06/29/2018.