MICHELLE ANN RADEKA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

ANN

Last Name

RADEKA

Suffix

DMD

Business Name

MICHELLE ANN RADEKA DMD

Original Issue Date

08/08/2005

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024