JERRILYN M MUSACHIA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020463

License Status

NOT RENEWED

Business

First Name

JERRILYN M

Last Name

MUSACHIA

Business Name

JERRILYN M MUSACHIA

Original Issue Date

01/31/1987

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006