KELLY S WOJCICKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028087

License Status

NOT RENEWED

Business

Title

DMD

First Name

KELLY

Middle

Last Name

WOJCICKI

Business Name

KELLY S WOJCICKI DMD

Original Issue Date

07/16/2009

Effective Date

07/16/2009

Expiration Date

09/30/2012

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012