DANIEL I BIALECKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

BIALECKI

Suffix

DDS

Business Name

DANIEL I BIALECKI DDS

Original Issue Date

10/22/2003

Effective Date

10/22/2003

Expiration Date

09/30/2004

City

BOLINGBROOK

State

Zip

60490

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005