ARTHUR J MISISCHIA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

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

09/30/2000

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005