MAGDALEN CAROLIN BELICKAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

MAGDALEN CAROLIN

Last Name

BELICKAS

Business Name

MAGDALEN CAROLIN BELICKAS

Original Issue Date

10/21/1985

Effective Date

10/14/2009

Expiration Date

09/30/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012