MATTHEW H LANGEWISCH DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001476

License Status

EXPIRED

Business

First Name

MATTHEW

Middle

Last Name

LANGEWISCH

Suffix

DDS

Business Name

MATTHEW H LANGEWISCH DDS

Original Issue Date

08/02/2004

Effective Date

08/02/2004

Expiration Date

06/30/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005