MELVIN T LISZKOWSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

MELVIN T

Last Name

LISZKOWSKI

Suffix

DDS

Business Name

MELVIN T LISZKOWSKI DDS

Original Issue Date

01/01/1998

Effective Date

06/15/2009

Expiration Date

09/30/2012

City

WHEATON

State

Zip

60189

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012