JAY E ZNANIECKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

JAY E

Last Name

ZNANIECKI

Business Name

JAY E ZNANIECKI

Original Issue Date

10/13/1982

Effective Date

10/13/1982

Expiration Date

09/30/1996

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005