JAY M OKSIUTA DDS - Dentist License in Illinois | # 018001480

JAY M OKSIUTA DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001480

License Status

EXPIRED

Business

N

First Name

JAY

Middle

M

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

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018