PETER A MICHALAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

Title

DDS

First Name

PETER A

Last Name

MICHALAK

Business Name

PETER A MICHALAK DDS

Original Issue Date

10/08/1992

Effective Date

10/08/1992

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005