JAY A WYGODNY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

First Name

JAY A

Last Name

WYGODNY

Business Name

JAY A WYGODNY

Original Issue Date

09/27/1984

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

LINDENHURST

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024