ROBERT RICHARD SAKIEWICZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

ROBERT RICHARD

Last Name

SAKIEWICZ

Business Name

ROBERT RICHARD SAKIEWICZ

Original Issue Date

10/25/1982

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009