TERRENCE JACOB DANEK DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

CANCELLED

Business

First Name

TERRENCE JACOB

Last Name

DANEK

Suffix

DDS

Business Name

TERRENCE JACOB DANEK DDS

Original Issue Date

10/14/1982

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

MINOOKA

State

Zip

60447

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009