JUSTIN TYLER DURANCIK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

TYLER

Last Name

DURANCIK

Business Name

JUSTIN TYLER DURANCIK

Original Issue Date

11/15/2018

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

BYRON

State

Zip

61010

County

OGLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024