WALTER JOHN DUDEK JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

JOHN

Last Name

DUDEK

Suffix

JR DDS

Business Name

WALTER JOHN DUDEK JR DDS

Original Issue Date

01/01/1998

Effective Date

07/16/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022