RICHARD TAGE WELINDT JR

Business Entity
ACTIVE

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****91

ACTIVE

N

RICHARD TAGE

WELINDT JR

RICHARD TAGE WELINDT JR

08/12/1985

05/15/2024

09/30/2027

OAK PARK

IL

60302

COOK

II III IV V

N

05/15/2024