RICHARD J BALCERAK 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

RICHARD

Middle

Last Name

BALCERAK

Suffix

DDS

Business Name

RICHARD J BALCERAK DDS

Original Issue Date

05/20/1987

Effective Date

07/16/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022