JAMES ROBERT MULARCZYK DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

CANCELLED

Business

First Name

JAMES

Middle

ROBERT

Last Name

MULARCZYK

Suffix

DDS

Business Name

JAMES ROBERT MULARCZYK DDS

Original Issue Date

08/27/2001

Effective Date

08/27/2001

Expiration Date

09/30/2002

City

DUNLAP

State

Zip

61525

County

PEORIA

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/17/2005