RICHARD MARK JANICZEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017856

License Status

NOT RENEWED

Business

First Name

RICHARD MARK

Last Name

JANICZEK

Business Name

RICHARD MARK JANICZEK

Original Issue Date

09/04/1981

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022