JASON LEE STANCZYK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002125

License Status

ACTIVE

Business

First Name

JASON

Middle

LEE

Last Name

STANCZYK

Suffix

DMD

Business Name

JASON LEE STANCZYK DMD

Original Issue Date

11/17/2004

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

08/05/2024