JEFFERY R SARBIESKI DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

CANCELLED

Business

First Name

JEFFERY R

Last Name

SARBIESKI

Suffix

DDS

Business Name

JEFFERY R SARBIESKI DDS

Original Issue Date

05/20/1992

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

SCHERERVILLE

State

Zip

46375

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009