STANLEY JEROME WITKIEWICZ DDS - Dentist License in Illinois | # 019013708

STANLEY JEROME WITKIEWICZ DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013708

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016