SCOTT DAVID VLK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

DAVID

Last Name

VLK

Suffix

DDS

Business Name

SCOTT DAVID VLK DDS

Original Issue Date

09/22/2000

Effective Date

09/22/2000

Expiration Date

09/30/2004

City

WESTCHESTER

State

Zip

60154

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005