MICHELLE L SLEZEWSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000904

License Status

NOT RENEWED

Business

First Name

MICHELLE L

Last Name

SLEZEWSKI

Suffix

DMD

Business Name

MICHELLE L SLEZEWSKI DMD

Original Issue Date

10/05/1995

Effective Date

10/05/1995

Expiration Date

06/30/1996

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005