JERRY J DVORACEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

Last Name

DVORACEK

Suffix

DDS

Business Name

JERRY J DVORACEK DDS

Original Issue Date

01/26/1990

Effective Date

01/26/1990

Expiration Date

09/30/1990

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005