JOHN E TROK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

JOHN E

Last Name

TROK

Business Name

JOHN E TROK

Original Issue Date

12/14/1995

Effective Date

12/14/1995

Expiration Date

09/30/1996

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005