TERRY A SELLKE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

First Name

TERRY

Middle

Last Name

SELLKE

Suffix

DDS

Business Name

TERRY A SELLKE DDS

Original Issue Date

01/01/1998

Effective Date

07/02/2024

Expiration Date

09/30/2027

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2024