CONRAD W MAZESKI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

CONRAD W

Last Name

MAZESKI

Business Name

CONRAD W MAZESKI

Original Issue Date

12/27/1985

Effective Date

08/25/2024

Expiration Date

09/30/2027

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2024