KRYSTIAN F JAROSZ DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001808

License Status

CANCELLED

Business

First Name

KRYSTIAN

Middle

Last Name

JAROSZ

Suffix

DMD

Business Name

KRYSTIAN F JAROSZ DMD

Original Issue Date

06/21/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

03/13/2015