BRIAN ALLAN HODACK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

BRIAN ALLAN

Last Name

HODACK

Suffix

DDS

Business Name

BRIAN ALLAN HODACK DDS

Original Issue Date

10/06/1981

Effective Date

08/19/2015

Expiration Date

09/30/2018

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018