JENNIFER ANN SELUZICKI WEST DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

Title

DDS

First Name

JENNIFER

Middle

ANN SELUZICKI

Last Name

WEST

Business Name

JENNIFER ANN SELUZICKI WEST DDS

Original Issue Date

08/23/2019

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025