KENNETH W JAZDZEWSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

NOT RENEWED

Business

First Name

KENNETH W

Last Name

JAZDZEWSKI

Business Name

KENNETH W JAZDZEWSKI

Original Issue Date

03/04/1983

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

ANTIOCH

State

Zip

60002

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025