WILLIAM JOHN GRZELAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

WILLIAM JOHN

Last Name

GRZELAK

Suffix

DDS

Business Name

WILLIAM JOHN GRZELAK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005