JASON LEE STANCZYK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

First Name

JASON

Middle

LEE

Last Name

STANCZYK

Suffix

DMD

Business Name

JASON LEE STANCZYK DMD

Original Issue Date

09/17/2021

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024