JERRY J DVORACEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

DVORACEK

Suffix

DDS

Business Name

JERRY J DVORACEK DDS

Original Issue Date

02/27/2002

Effective Date

06/25/2015

Expiration Date

09/30/2018

City

DES PLAINES

State

Zip

60018

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018