RANDALL MICHAEL VITEK DDS 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

RANDALL MICHAEL

Last Name

VITEK

Suffix

DDS

Business Name

RANDALL MICHAEL VITEK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005