NANCY A VIDECKIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

NANCY A

Last Name

VIDECKIS

Business Name

NANCY A VIDECKIS

Original Issue Date

12/11/1990

Effective Date

09/23/2009

Expiration Date

09/30/2012

City

SCHAUMBURG

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012