MICHAEL L SIWEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000591

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

SIWEK

Suffix

DDS

Business Name

MICHAEL L SIWEK DDS

Original Issue Date

08/29/1991

Effective Date

08/29/1991

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005