WALTER JOSEPH CISZCZON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

WALTER JOSEPH

Last Name

CISZCZON

Suffix

DDS

Business Name

WALTER JOSEPH CISZCZON DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005