MICHELLE ANN RADEKA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANN

Last Name

RADEKA

Suffix

DMD

Business Name

MICHELLE ANN RADEKA DMD

Original Issue Date

09/23/1999

Effective Date

09/23/1999

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006