PIOTR BARYSENKA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001860

License Status

NOT RENEWED

Business

Title

DDS

First Name

PIOTR

Last Name

BARYSENKA

Business Name

PIOTR BARYSENKA DDS

Original Issue Date

08/30/2012

Effective Date

08/30/2012

Expiration Date

08/01/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

01/07/2016