BRIAN ROBERT SLADEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

BRIAN ROBERT

Last Name

SLADEK

Business Name

BRIAN ROBERT SLADEK

Original Issue Date

02/04/1985

Effective Date

12/07/2021

Expiration Date

09/30/2024

City

LAGRANGE PARK

State

Zip

60526

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025