RICHARD W PANEK 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

RICHARD W

Last Name

PANEK

Business Name

RICHARD W PANEK

Original Issue Date

09/27/1985

Effective Date

09/27/1985

Expiration Date

09/30/1988

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005