JEFFREY ALAN STOLARZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

Title

DDS

First Name

JEFFREY

Middle

ALAN

Last Name

STOLARZ

Business Name

JEFFREY ALAN STOLARZ DDS

Original Issue Date

12/13/1999

Effective Date

12/13/1999

Expiration Date

09/30/2000

City

WHITING

State

Zip

46394

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005