JOHN WALLACE CHULICK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

JOHN WALLACE

Last Name

CHULICK

Suffix

DDS

Business Name

JOHN WALLACE CHULICK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005