EDWARD FRANK MIKSICEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

EDWARD FRANK

Last Name

MIKSICEK

Suffix

DDS

Business Name

EDWARD FRANK MIKSICEK DDS

Original Issue Date

07/12/1990

Effective Date

07/12/1990

Expiration Date

09/30/1992

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005