JERZY EDWARD WOZNIAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

JERZY

Middle

EDWARD

Last Name

WOZNIAK

Suffix

DDS

Business Name

JERZY EDWARD WOZNIAK DDS

Original Issue Date

07/08/2003

Effective Date

07/08/2003

Expiration Date

09/30/2006

City

OAK PARK

State

Zip

60304

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006