CRAIG WALTER LOPATKA MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

CRAIG WALTER

Last Name

LOPATKA

Suffix

Business Name

CRAIG WALTER LOPATKA MD

Original Issue Date

03/16/1987

Effective Date

03/16/1987

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005