GORDON PAUL POCIALIK DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001842

License Status

EXPIRED

Business

First Name

GORDON

Middle

PAUL

Last Name

POCIALIK

Suffix

DMD

Business Name

GORDON PAUL POCIALIK DMD

Original Issue Date

06/21/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/07/2013