CHARLES WASHINGT DVORAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

CHARLES WASHINGT

Last Name

DVORAK

Suffix

DDS

Business Name

CHARLES WASHINGT DVORAK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005