CLEMENT RICHARD JASIEK DDS - Dentist License in Illinois | # 021000377

CLEMENT RICHARD JASIEK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000377

License Status

NOT RENEWED

Business

N

First Name

CLEMENT RICHARD

Last Name

JASIEK

Suffix

DDS

Business Name

CLEMENT RICHARD JASIEK DDS

Original Issue Date

11/21/1962

Effective Date

11/21/1962

Expiration Date

09/30/1994

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/13/2005