IWONA ANNA LASAK - Dentist License in Illinois | # 020011088

IWONA ANNA LASAK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011088

License Status

NOT RENEWED

Business

N

First Name

IWONA

Middle

ANNA

Last Name

LASAK

Business Name

IWONA ANNA LASAK

Original Issue Date

07/14/2004

Effective Date

06/07/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022