JON RANDALL SZLESZINSKI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

JON

Middle

RANDALL

Last Name

SZLESZINSKI

Business Name

JON RANDALL SZLESZINSKI

Original Issue Date

06/30/2015

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2024