RICHARD J BALCERAK 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

RICHARD

Middle

Last Name

BALCERAK

Suffix

DDS

Business Name

RICHARD J BALCERAK DDS

Original Issue Date

10/27/1983

Effective Date

08/24/2012

Expiration Date

09/30/2015

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016