RENEE M STACH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022012

License Status

NOT RENEWED

Business

First Name

RENEE M

Last Name

STACH

Business Name

RENEE M STACH

Original Issue Date

05/12/1990

Effective Date

05/12/1990

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005