TERRY DAVID OLEJKO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

TERRY DAVID

Last Name

OLEJKO

Business Name

TERRY DAVID OLEJKO

Original Issue Date

10/07/1982

Effective Date

10/07/1982

Expiration Date

09/30/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005