MARK J KIZIOR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000359

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

KIZIOR

Business Name

MARK J KIZIOR

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005