THOMAS L STRAKA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

THOMAS L

Last Name

STRAKA

Business Name

THOMAS L STRAKA

Original Issue Date

08/12/1987

Effective Date

06/15/2009

Expiration Date

09/30/2012

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012