MATTHEW C DZIARSKI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

Title

DMD

First Name

MATTHEW

Middle

Last Name

DZIARSKI

Business Name

MATTHEW C DZIARSKI DMD

Original Issue Date

07/20/2016

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2024