WALTER JOSEPH CISZCZON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011797

License Status

NOT RENEWED

Business

First Name

WALTER JOSEPH

Last Name

CISZCZON

Suffix

DDS

Business Name

WALTER JOSEPH CISZCZON DDS

Original Issue Date

08/23/1960

Effective Date

08/23/1960

Expiration Date

09/30/1998

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005