KEVIN T LADESIC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

LADESIC

Business Name

KEVIN T LADESIC

Original Issue Date

04/20/1999

Effective Date

04/20/1999

Expiration Date

09/30/2000

City

BEACH PARK

State

Zip

60099

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005