THEODORE JAMES PAWLIAS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

THEODORE JAMES

Last Name

PAWLIAS

Business Name

THEODORE JAMES PAWLIAS

Original Issue Date

08/16/1982

Effective Date

06/01/2024

Expiration Date

09/30/2027

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2024