AGNIESZKA M DONDZILO - Dentist License in Illinois | # 018001308

AGNIESZKA M DONDZILO

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001308

License Status

EXPIRED

Business

N

First Name

AGNIESZKA

Middle

M

Last Name

DONDZILO

Business Name

AGNIESZKA M DONDZILO

Original Issue Date

09/21/2001

Effective Date

09/21/2001

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005