RICHARD S SMIEJEK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013681

License Status

INACTIVE

Business

First Name

RICHARD S

Last Name

SMIEJEK

Business Name

RICHARD S SMIEJEK

Original Issue Date

07/14/1969

Effective Date

06/10/2009

Expiration Date

09/30/2012

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/06/2012