LEO PAUL KRUSACK DDS - Dentist License in Illinois | # 019014094

LEO PAUL KRUSACK DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014094

License Status

NOT RENEWED

Business

N

First Name

LEO PAUL

Last Name

KRUSACK

Suffix

DDS

Business Name

LEO PAUL KRUSACK DDS

Original Issue Date

07/08/1971

Effective Date

10/01/2006

Expiration Date

09/30/2009

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2010