JOSEPH JAMES FORMANEK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033970

License Status

ACTIVE

Business

Title

DDS

First Name

JOSEPH

Middle

JAMES

Last Name

FORMANEK

Business Name

JOSEPH JAMES FORMANEK DDS

Original Issue Date

10/04/2022

Effective Date

07/08/2024

Expiration Date

09/30/2027

City

LEES SUMMIT

State

Zip

64081

Ever Disciplined

LastModifiedDate

07/08/2024