RICHARD DWIGHT BELNIAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

RICHARD DWIGHT

Last Name

BELNIAK

Business Name

RICHARD DWIGHT BELNIAK

Original Issue Date

08/09/1982

Effective Date

07/09/2015

Expiration Date

09/30/2018

City

WHEATON

State

Zip

60189

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018