WILLIAM JOHN GRZELAK DDS 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

WILLIAM JOHN

Last Name

GRZELAK

Suffix

DDS

Business Name

WILLIAM JOHN GRZELAK DDS

Original Issue Date

05/02/1988

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022