PRESTON JOHN DEKKER 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

PRESTON

Middle

JOHN

Last Name

DEKKER

Business Name

PRESTON JOHN DEKKER

Original Issue Date

10/20/2018

Effective Date

11/17/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025