TIFFANY K JOZWIAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

JOZWIAK

Suffix

DDS

Business Name

TIFFANY K JOZWIAK DDS

Original Issue Date

09/15/1997

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/04/2009