JAY M OKSIUTA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001480

License Status

EXPIRED

Business

First Name

JAY

Middle

Last Name

OKSIUTA

Suffix

DDS

Business Name

JAY M OKSIUTA DDS

Original Issue Date

08/19/2004

Effective Date

08/19/2004

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018