DAVID T RUDZIEWICZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

DAVID T

Last Name

RUDZIEWICZ

Business Name

DAVID T RUDZIEWICZ

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

09/30/1994

City

LYONS

State

Zip

60534

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005