LEONA DALIA PETREIKIS DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

CANCELLED

Business

First Name

LEONA DALIA

Last Name

PETREIKIS

Suffix

DDS

Business Name

LEONA DALIA PETREIKIS DDS

Original Issue Date

09/07/1988

Effective Date

09/07/1988

Expiration Date

09/30/1990

City

HICKORY HILLS

State

Zip

60457

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005