PETER JAMES BACOS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

First Name

PETER JAMES

Last Name

BACOS

Business Name

PETER JAMES BACOS

Original Issue Date

08/05/1985

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024