MARY CHIAKULAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARY

Last Name

CHIAKULAS

Business Name

MARY CHIAKULAS DDS

Original Issue Date

01/23/1986

Effective Date

01/23/1986

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60645

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005