FRANK F OMERZA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

FRANK

Middle

Last Name

OMERZA

Suffix

DDS

Business Name

FRANK F OMERZA DDS

Original Issue Date

02/26/1996

Effective Date

02/26/1996

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005