MATTHEW R ROZNY Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001608

License Status

CANCELLED

Business

First Name

MATTHEW

Middle

Last Name

ROZNY

Business Name

MATTHEW R ROZNY

Original Issue Date

08/14/2006

Effective Date

08/14/2006

Expiration Date

05/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

08/14/2006