CASIMIR PETER TRELKA JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

CASIMIR PETER

Last Name

TRELKA JR

Business Name

CASIMIR PETER TRELKA JR

Original Issue Date

01/01/1998

Effective Date

08/25/2009

Expiration Date

09/30/2012

City

HIGHWOOD

State

Zip

60040

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012