KIRK BRIAN JUHASZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

KIRK

Middle

BRIAN

Last Name

JUHASZ

Suffix

DMD

Business Name

KIRK BRIAN JUHASZ DMD

Original Issue Date

10/28/2010

Effective Date

07/26/2012

Expiration Date

09/30/2015

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016