KEITH E PETRANEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

KEITH E

Last Name

PETRANEK

Suffix

DDS

Business Name

KEITH E PETRANEK DDS

Original Issue Date

08/31/1981

Effective Date

11/30/2021

Expiration Date

09/30/2024

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025