SUSANNA CRISTINA PISCHEK DMD - Dentist License in Illinois | # 018001890

SUSANNA CRISTINA PISCHEK DMD

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001890

License Status

CANCELLED

Business

N

First Name

SUSANNA

Middle

CRISTINA

Last Name

PISCHEK

Suffix

DMD

Business Name

SUSANNA CRISTINA PISCHEK DMD

Original Issue Date

07/19/2013

Effective Date

07/19/2013

Expiration Date

06/30/2014

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

03/13/2015