GORDON PAUL POCIALIK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

GORDON

Middle

PAUL

Last Name

POCIALIK

Suffix

DMD

Business Name

GORDON PAUL POCIALIK DMD

Original Issue Date

02/14/2013

Effective Date

02/14/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016