PHILIP KARL RADTKE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018003

License Status

INACTIVE

Business

First Name

PHILIP KARL

Last Name

RADTKE

Business Name

PHILIP KARL RADTKE

Original Issue Date

05/28/1982

Effective Date

05/28/1982

Expiration Date

09/30/1990

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005