ROBERT F JURASEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

ROBERT F

Last Name

JURASEK

Business Name

ROBERT F JURASEK

Original Issue Date

08/19/1983

Effective Date

08/03/2012

Expiration Date

09/30/2015

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016