LENA ZARKA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000918

License Status

NOT RENEWED

Business

First Name

LENA

Last Name

ZARKA

Business Name

LENA ZARKA

Original Issue Date

01/03/1996

Effective Date

01/03/1996

Expiration Date

06/30/1997

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

10/12/2005