RICHARD MICHAEL DZIAK DDS - Dentist License in Indiana | # 019015962

RICHARD MICHAEL DZIAK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015962

License Status

NOT RENEWED

Business

N

First Name

RICHARD MICHAEL

Last Name

DZIAK

Suffix

DDS

Business Name

RICHARD MICHAEL DZIAK DDS

Original Issue Date

06/27/1977

Effective Date

09/10/2018

Expiration Date

01/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

05/09/2022