SAM MUDRIK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

SAM

Last Name

MUDRIK

Suffix

DDS

Business Name

SAM MUDRIK DDS

Original Issue Date

08/05/2003

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024