ROMAN DANIEL JOH MYCYK JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

ROMAN DANIEL JOH

Last Name

MYCYK JR

Suffix

DDS

Business Name

ROMAN DANIEL JOH MYCYK JR DDS

Original Issue Date

01/01/1998

Effective Date

09/25/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025