JEROME MICHAEL KADLECK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

Title

DDS

First Name

JEROME

Middle

MICHAEL

Last Name

KADLECK

Business Name

JEROME MICHAEL KADLECK DDS

Original Issue Date

01/01/1998

Effective Date

09/12/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022