CLAUDIA RAE ROMANEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

CLAUDIA RAE

Last Name

ROMANEK

Business Name

CLAUDIA RAE ROMANEK

Original Issue Date

10/05/1984

Effective Date

10/05/1984

Expiration Date

09/30/1986

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005