PAUL VICTOR STASIEWICZ DDS - Dentist License in Illinois | # 019014771

PAUL VICTOR STASIEWICZ DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014771

License Status

NOT RENEWED

Business

N

First Name

PAUL VICTOR

Last Name

STASIEWICZ

Suffix

DDS

Business Name

PAUL VICTOR STASIEWICZ DDS

Original Issue Date

12/17/1973

Effective Date

12/17/1973

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005