JOSEPH J STACHNIAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

JOSEPH J

Last Name

STACHNIAK

Business Name

JOSEPH J STACHNIAK

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

OAK BROOK

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005