BRIAN JOSEPH WALCZAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000878

License Status

NOT RENEWED

Business

Title

DDS

First Name

BRIAN

Middle

JOSEPH

Last Name

WALCZAK

Business Name

BRIAN JOSEPH WALCZAK DDS

Original Issue Date

09/25/2013

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025