NICOLE NATALIE SLEZAK 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

Title

DDS

First Name

NICOLE

Middle

NATALIE

Last Name

SLEZAK

Business Name

NICOLE NATALIE SLEZAK DDS

Original Issue Date

07/12/2019

Effective Date

12/11/2021

Expiration Date

09/30/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025