ANDREW JOHN JURSIK III Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

First Name

ANDREW

Middle

JOHN

Last Name

JURSIK III

Business Name

ANDREW JOHN JURSIK III

Original Issue Date

04/21/2020

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

ELMWOOD PARK

State

Zip

60707

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024