MARK THEODORE GAPONIUK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025254

License Status

NOT RENEWED

Business

First Name

MARK

Middle

THEODORE

Last Name

GAPONIUK

Suffix

DMD

Business Name

MARK THEODORE GAPONIUK DMD

Original Issue Date

05/01/2000

Effective Date

05/01/2000

Expiration Date

09/30/2002

City

STRONGHURST

State

Zip

61480

County

HENDERSON

Ever Disciplined

LastModifiedDate

10/17/2005