THOMAS JOHN WODNIAK DDS 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

THOMAS JOHN

Last Name

WODNIAK

Suffix

DDS

Business Name

THOMAS JOHN WODNIAK DDS

Original Issue Date

01/01/1998

Effective Date

08/16/2018

Expiration Date

01/31/2022

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022