CHRISTOPHER N MODJESKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER N

Last Name

MODJESKI

Suffix

DDS

Business Name

CHRISTOPHER N MODJESKI DDS

Original Issue Date

02/14/1991

Effective Date

02/14/1991

Expiration Date

09/30/1994

City

CARPENTERSVILLE

State

Zip

60110

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005