PAUL VICTOR STASIEWICZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014771

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005