BRIAN JOSEPH WALCZAK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

Title

DDS

First Name

BRIAN

Middle

JOSEPH

Last Name

WALCZAK

Business Name

BRIAN JOSEPH WALCZAK DDS

Original Issue Date

06/01/2010

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024