RONALD T MULACEK VINSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

RONALD T MULACEK

Last Name

VINSON

Business Name

RONALD T MULACEK VINSON

Original Issue Date

01/01/1998

Effective Date

11/12/2015

Expiration Date

09/30/2018

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/31/2018