TERRENCE JOHN JAKUBANIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

TERRENCE JOHN

Last Name

JAKUBANIS

Suffix

DDS

Business Name

TERRENCE JOHN JAKUBANIS DDS

Original Issue Date

10/21/1981

Effective Date

10/21/1981

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005