NICOLE NATALIE SLEZAK DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002075

License Status

EXPIRED

Business

Title

DDS

First Name

NICOLE

Middle

NATALIE

Last Name

SLEZAK

Business Name

NICOLE NATALIE SLEZAK DDS

Original Issue Date

06/26/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

11/28/2022