JONATHAN MICHAEL CZYSCON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

Title

DMD

First Name

JONATHAN

Middle

MICHAEL

Last Name

CZYSCON

Business Name

JONATHAN MICHAEL CZYSCON DMD

Original Issue Date

07/20/2015

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024