MARGARET A SUJACK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

MARGARET

Middle

Last Name

SUJACK

Business Name

MARGARET A SUJACK

Original Issue Date

08/19/1983

Effective Date

08/19/1983

Expiration Date

09/30/1986

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005