MARK THEODORE GAPONIUK DMD - Dentist License in Illinois | # 019025254

MARK THEODORE GAPONIUK DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025254

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

THEODORE

Last Name

GAPONIUK

Suffix

DMD

Business Name

MARK THEODORE GAPONIUK DMD

Original Issue Date

05/01/2000

Effective Date

05/01/2000

Expiration Date

09/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005