JOEL RICHARD KORCZAK DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

CANCELLED

Business

First Name

JOEL RICHARD

Last Name

KORCZAK

Suffix

DDS

Business Name

JOEL RICHARD KORCZAK DDS

Original Issue Date

08/04/1981

Effective Date

08/04/1981

Expiration Date

09/30/1992

City

BURNHAM

State

Zip

60633

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005