THERESA M JANSKY 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

THERESA M

Last Name

JANSKY

Business Name

THERESA M JANSKY

Original Issue Date

11/03/1988

Effective Date

07/22/2013

Expiration Date

09/30/2015

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016