THOMAS VICTOR PRYBYL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

THOMAS VICTOR

Last Name

PRYBYL

Suffix

DDS

Business Name

THOMAS VICTOR PRYBYL DDS

Original Issue Date

01/01/1998

Effective Date

12/07/2010

Expiration Date

09/30/2012

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012