JASON JOSEPH SWANTEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

Title

DDS

First Name

JASON

Middle

JOSEPH

Last Name

SWANTEK

Business Name

JASON JOSEPH SWANTEK DDS

Original Issue Date

06/23/2006

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

JANESVILLE

State

Zip

53545

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022