STANLEY JOSEPH MATUSIK DDS - Dentist License in Illinois | # 019013270

STANLEY JOSEPH MATUSIK DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013270

License Status

INACTIVE

Business

N

First Name

STANLEY

Middle

JOSEPH

Last Name

MATUSIK

Suffix

DDS

Business Name

STANLEY JOSEPH MATUSIK DDS

Original Issue Date

12/07/1967

Effective Date

08/31/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012