RONALD A PODRAZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

RONALD A

Last Name

PODRAZA

Business Name

RONALD A PODRAZA

Original Issue Date

08/23/1984

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022