RICHARD JOSEPH WITEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

JOSEPH

Last Name

WITEK

Business Name

RICHARD JOSEPH WITEK

Original Issue Date

01/01/1998

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/04/2009