MARK H KULIK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

MARK H

Last Name

KULIK

Business Name

MARK H KULIK

Original Issue Date

10/26/1983

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018