ERIC JOHN DANKOSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

JOHN

Last Name

DANKOSKI

Suffix

DMD

Business Name

ERIC JOHN DANKOSKI DMD

Original Issue Date

03/19/2002

Effective Date

03/19/2002

Expiration Date

09/30/2004

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005