PHILIP BRUNO JALOWIEC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

PHILIP BRUNO

Last Name

JALOWIEC

Suffix

DDS

Business Name

PHILIP BRUNO JALOWIEC DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1986

City

PALOS PARK

State

Zip

60464

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005