DERIC TRUSKOSKI - Dentist License in Illinois | # 018002067

DERIC TRUSKOSKI

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002067

License Status

EXPIRED

Business

N

First Name

DERIC

Last Name

TRUSKOSKI

Business Name

DERIC TRUSKOSKI

Original Issue Date

06/13/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

11/28/2022