MARTIN G JANECKE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

MARTIN G

Last Name

JANECKE

Business Name

MARTIN G JANECKE

Original Issue Date

08/02/1982

Effective Date

09/08/2015

Expiration Date

09/30/2018

City

PECATONICA

State

Zip

61063

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018