CAROLYN FAY BELKE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

CAROLYN

Middle

FAY

Last Name

BELKE

Suffix

DDS

Business Name

CAROLYN FAY BELKE DDS

Original Issue Date

05/03/1999

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024