CHARLES STANLEY CZEREPAK DMD - Dentist License in Illinois | # 137000465

CHARLES STANLEY CZEREPAK DMD

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000465

License Status

ACTIVE

Business

N

First Name

CHARLES

Middle

STANLEY

Last Name

CZEREPAK

Suffix

DMD

Business Name

CHARLES STANLEY CZEREPAK DMD

Original Issue Date

08/04/1999

Effective Date

07/08/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

07/08/2024