THEODORE GEORGE WINIECKI - Dentist License in Illinois | # 019011180

THEODORE GEORGE WINIECKI

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011180

License Status

NOT RENEWED

Business

N

First Name

THEODORE GEORGE

Last Name

WINIECKI

Business Name

THEODORE GEORGE WINIECKI

Original Issue Date

09/11/1957

Effective Date

08/20/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012