ANNA K BEREZECKY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

ANNA K

Last Name

BEREZECKY

Suffix

DDS

Business Name

ANNA K BEREZECKY DDS

Original Issue Date

10/13/1989

Effective Date

10/13/1989

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005