MORRIS W WASYLENKI - Dentist License in Illinois | # 018000271

MORRIS W WASYLENKI

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000271

License Status

NOT RENEWED

Business

N

First Name

MORRIS

Middle

W

Last Name

WASYLENKI

Business Name

MORRIS W WASYLENKI

Original Issue Date

07/06/1988

Effective Date

07/06/1988

Expiration Date

07/05/1990

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005