PIOTR BARYSENKA DDS - Dentist License in Illinois | # 018001860

PIOTR BARYSENKA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001860

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

PIOTR

Last Name

BARYSENKA

Business Name

PIOTR BARYSENKA DDS

Original Issue Date

08/30/2012

Effective Date

08/30/2012

Expiration Date

08/01/2015

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

01/07/2016