JACQUELINE DZIERZAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015145

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

DZIERZAK

Business Name

JACQUELINE DZIERZAK

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005