MARK WAWRZAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000332

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

WAWRZAK

Suffix

DDS

Business Name

MARK WAWRZAK DDS

Original Issue Date

05/16/1989

Effective Date

05/16/1989

Expiration Date

06/30/1990

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005