RANDALL RICHARD SOBCZAK 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

RANDALL RICHARD

Last Name

SOBCZAK

Business Name

RANDALL RICHARD SOBCZAK

Original Issue Date

09/20/1985

Effective Date

09/20/1985

Expiration Date

09/30/1990

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005