JONATHAN MICHAEL SZEWCZYK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

Title

DDS

First Name

JONATHAN

Middle

MICHAEL

Last Name

SZEWCZYK

Business Name

JONATHAN MICHAEL SZEWCZYK DDS

Original Issue Date

07/25/2017

Effective Date

08/21/2018

Expiration Date

01/31/2022

City

MADISON

State

Zip

53703

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022