STANLEY JOSEPH MATUSIK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

STANLEY

Middle

JOSEPH

Last Name

MATUSIK

Suffix

DDS

Business Name

STANLEY JOSEPH MATUSIK DDS

Original Issue Date

01/01/1998

Effective Date

08/31/2009

Expiration Date

09/30/2012

City

WEST DUNDEE

State

Zip

60118

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012