LEE D FILLAK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

ACTIVE

Business

First Name

LEE

Middle

Last Name

FILLAK

Suffix

DMD

Business Name

LEE D FILLAK DMD

Original Issue Date

11/22/1994

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024