JOHN NICHOLAS PELDYAK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

JOHN NICHOLAS

Last Name

PELDYAK

Suffix

DMD

Business Name

JOHN NICHOLAS PELDYAK DMD

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005