WACLAW MARION BRYLAK DDS - Dentist License in Illinois | # 019011828

WACLAW MARION BRYLAK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011828

License Status

NOT RENEWED

Business

N

First Name

WACLAW MARION

Last Name

BRYLAK

Suffix

DDS

Business Name

WACLAW MARION BRYLAK DDS

Original Issue Date

12/28/1960

Effective Date

12/28/1960

Expiration Date

09/30/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005