ISIDOR RUSCHEINSKI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012561

License Status

INACTIVE

Business

First Name

ISIDOR

Last Name

RUSCHEINSKI

Suffix

DDS

Business Name

ISIDOR RUSCHEINSKI DDS

Original Issue Date

07/14/1964

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WEST PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

07/24/2006