LEONA DALIA PETREIKIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

LEONA DALIA

Last Name

PETREIKIS

Suffix

DDS

Business Name

LEONA DALIA PETREIKIS DDS

Original Issue Date

01/01/1998

Effective Date

09/28/2007

Expiration Date

09/30/2009

City

HICKORY HILLS

State

Zip

60457

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009