KRYSTIAN F JAROSZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

KRYSTIAN

Middle

Last Name

JAROSZ

Suffix

DMD

Business Name

KRYSTIAN F JAROSZ DMD

Original Issue Date

04/23/2012

Effective Date

08/22/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016