JAY E ZNANIECKI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018133

License Status

INACTIVE

Business

First Name

JAY E

Last Name

ZNANIECKI

Business Name

JAY E ZNANIECKI

Original Issue Date

07/16/1982

Effective Date

07/16/1982

Expiration Date

09/30/1996

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/12/2005