CLEMENT RICHARD JASIEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010672

License Status

NOT RENEWED

Business

First Name

CLEMENT RICHARD

Last Name

JASIEK

Suffix

DDS

Business Name

CLEMENT RICHARD JASIEK DDS

Original Issue Date

08/09/1955

Effective Date

08/09/1955

Expiration Date

09/30/1994

City

LA SALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/12/2005