CHARLES STANLEY CZEREPAK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

ACTIVE

Business

First Name

CHARLES

Middle

STANLEY

Last Name

CZEREPAK

Suffix

DMD

Business Name

CHARLES STANLEY CZEREPAK DMD

Original Issue Date

01/01/1998

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2024