SUSANNA CRISTINA PISCHEK DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001890

License Status

CANCELLED

Business

First Name

SUSANNA

Middle

CRISTINA

Last Name

PISCHEK

Suffix

DMD

Business Name

SUSANNA CRISTINA PISCHEK DMD

Original Issue Date

07/19/2013

Effective Date

07/19/2013

Expiration Date

06/30/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

03/13/2015