RICHARD WALTER MADURA DDS 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

RICHARD WALTER

Last Name

MADURA

Suffix

DDS

Business Name

RICHARD WALTER MADURA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1998

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005