RONALD C MYCZEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

RONALD C

Last Name

MYCZEK

Suffix

DDS

Business Name

RONALD C MYCZEK DDS

Original Issue Date

08/02/2022

Effective Date

08/02/2022

Expiration Date

09/30/2024

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025