MATTHEW R ROZNY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

INACTIVE

Business

First Name

MATTHEW

Middle

Last Name

ROZNY

Business Name

MATTHEW R ROZNY

Original Issue Date

04/10/2009

Effective Date

07/05/2018

Expiration Date

12/31/2021

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2021