AGNIESZKA M DONDZILO Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001308

License Status

EXPIRED

Business

First Name

AGNIESZKA

Middle

Last Name

DONDZILO

Business Name

AGNIESZKA M DONDZILO

Original Issue Date

09/21/2001

Effective Date

09/21/2001

Expiration Date

06/30/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005