JAY MEYER BUKZIN DDS - Dentist License in Illinois | # 018001136

JAY MEYER BUKZIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001136

License Status

NOT RENEWED

Business

N

First Name

JAY

Middle

MEYER

Last Name

BUKZIN

Suffix

DDS

Business Name

JAY MEYER BUKZIN DDS

Original Issue Date

09/28/1998

Effective Date

09/28/1998

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005