WACLAW MARION BRYLAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011828

License Status

NOT RENEWED

Business

First Name

WACLAW MARION

Last Name

BRYLAK

Suffix

DDS

Business Name

WACLAW MARION BRYLAK DDS

Original Issue Date

12/28/1960

Effective Date

12/28/1960

Expiration Date

09/30/2000

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005