KURT ANDREWS WALEJKO DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001825

License Status

CANCELLED

Business

Title

DDS

First Name

KURT

Middle

ANDREWS

Last Name

WALEJKO

Business Name

KURT ANDREWS WALEJKO DDS

Original Issue Date

01/17/2012

Effective Date

01/31/2012

Expiration Date

06/30/2014

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

03/13/2015