JAY MEYER BUKZIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001136

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005