JOSEPH MICHAEL ZAJAC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

JOSEPH MICHAEL

Last Name

ZAJAC

Business Name

JOSEPH MICHAEL ZAJAC

Original Issue Date

07/17/2001

Effective Date

08/20/2018

Expiration Date

01/31/2022

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/09/2022