RICHARD EDWARD SZUKALA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

EDWARD

Last Name

SZUKALA

Suffix

DDS

Business Name

RICHARD EDWARD SZUKALA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2010