MATTHEW D FLAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

FLAK

Suffix

DDS

Business Name

MATTHEW D FLAK DDS

Original Issue Date

03/24/2003

Effective Date

03/24/2003

Expiration Date

09/30/2004

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005