JEFFREY ALAN STOLARZ DDS - Dentist License in Indiana | # 31*****61

JEFFREY ALAN STOLARZ DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

JEFFREY

Middle

ALAN

Last Name

STOLARZ

Business Name

JEFFREY ALAN STOLARZ DDS

Original Issue Date

12/13/1999

Effective Date

12/13/1999

Expiration Date

09/30/2000

State

IN

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/17/2005