KERMIT M RADKE JR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

Title

DMD

First Name

KERMIT

Middle

Last Name

RADKE

Suffix

Business Name

KERMIT M RADKE JR DMD

Original Issue Date

09/12/1996

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024