RAYMOND ADAM PODWIKA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012118

License Status

INACTIVE

Business

First Name

RAYMOND ADAM

Last Name

PODWIKA

Suffix

DDS

Business Name

RAYMOND ADAM PODWIKA DDS

Original Issue Date

08/09/1962

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PLAINFIELD

State

Zip

60544

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2006