STANLEY JEROME WITKIEWICZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013708

License Status

NOT RENEWED

Business

First Name

STANLEY JEROME

Last Name

WITKIEWICZ

Suffix

DDS

Business Name

STANLEY JEROME WITKIEWICZ DDS

Original Issue Date

07/14/1969

Effective Date

09/17/2012

Expiration Date

09/30/2015

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

02/08/2016