ANETA M LACEK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

ANETA

Middle

Last Name

LACEK

Business Name

ANETA M LACEK

Original Issue Date

06/10/2011

Effective Date

08/16/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/16/2024