PETER WLODARCZYK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

PETER

Last Name

WLODARCZYK

Business Name

PETER WLODARCZYK

Original Issue Date

09/05/1990

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022