ANDREW FRANK PETLAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

First Name

ANDREW FRANK

Last Name

PETLAK

Business Name

ANDREW FRANK PETLAK

Original Issue Date

08/21/1990

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024