PAMELA L DITKO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

Title

DDS

First Name

PAMELA

Middle

Last Name

DITKO

Business Name

PAMELA L DITKO DDS

Original Issue Date

10/04/1991

Effective Date

08/25/2009

Expiration Date

09/30/2012

City

LEMONT

State

Zip

60439

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012