DONNA J MATTSCHECK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000631

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

MATTSCHECK

Business Name

DONNA J MATTSCHECK

Original Issue Date

07/01/1992

Effective Date

07/01/1992

Expiration Date

06/01/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005