PETER G PONTIKIS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

First Name

PETER G

Last Name

PONTIKIS

Business Name

PETER G PONTIKIS

Original Issue Date

11/03/1987

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024