ERNEST STEPHEN FERJENTSIK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

ERNEST STEPHEN

Last Name

FERJENTSIK

Suffix

DDS

Business Name

ERNEST STEPHEN FERJENTSIK DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

ROUND LAKE

State

Zip

60073

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005