MARK J KIZIOR - Dentist License in Illinois | # 018000359

MARK J KIZIOR

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000359

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

J

Last Name

KIZIOR

Business Name

MARK J KIZIOR

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

06/30/1991

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005