KEVIN T LADESIC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

LADESIC

Business Name

KEVIN T LADESIC

Original Issue Date

12/08/1993

Effective Date

12/08/1993

Expiration Date

09/30/2004

City

LINDENHURST

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/17/2005