MORRIS W WASYLENKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000271

License Status

NOT RENEWED

Business

First Name

MORRIS

Middle

Last Name

WASYLENKI

Business Name

MORRIS W WASYLENKI

Original Issue Date

07/06/1988

Effective Date

07/06/1988

Expiration Date

07/05/1990

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005