JASON SCOTT SOBKOWSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

JASON

Middle

SCOTT

Last Name

SOBKOWSKI

Suffix

DMD

Business Name

JASON SCOTT SOBKOWSKI DMD

Original Issue Date

08/08/2003

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009