WALTER B OSIKA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020932

License Status

INACTIVE

Business

First Name

WALTER B

Last Name

OSIKA

Business Name

WALTER B OSIKA

Original Issue Date

10/31/1987

Effective Date

09/18/2015

Expiration Date

09/30/2018

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

06/07/2018