STANLEY R TIKUSIS 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

STANLEY R

Last Name

TIKUSIS

Business Name

STANLEY R TIKUSIS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

GLENWOOD

State

Zip

60425

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005