TERRY STEPHEN SWIATKOWSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

TERRY STEPHEN

Last Name

SWIATKOWSKI

Suffix

DMD

Business Name

TERRY STEPHEN SWIATKOWSKI DMD

Original Issue Date

09/22/1981

Effective Date

09/22/1981

Expiration Date

09/30/1984

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005