TOM KLACZAK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

Title

DMD

First Name

TOM

Last Name

KLACZAK

Business Name

TOM KLACZAK DMD

Original Issue Date

07/22/2025

Effective Date

07/22/2025

Expiration Date

09/30/2027

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2025