ANTHONY JOSEPH TISONCIK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

ANTHONY JOSEPH

Last Name

TISONCIK

Business Name

ANTHONY JOSEPH TISONCIK

Original Issue Date

08/16/1984

Effective Date

06/06/2024

Expiration Date

09/30/2027

City

PALOS HILLS

State

Zip

60465

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2024