MARY CHIAKULAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARY

Last Name

CHIAKULAS

Business Name

MARY CHIAKULAS DDS

Original Issue Date

11/13/1985

Effective Date

08/15/2018

Expiration Date

01/31/2022

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/09/2022