ARTHUR J MISISCHIA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

ARTHUR J

Last Name

MISISCHIA

Business Name

ARTHUR J MISISCHIA

Original Issue Date

12/12/1995

Effective Date

12/12/1995

Expiration Date

09/30/1996

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005