MARCIN M JASEK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029790

License Status

INACTIVE

Business

Title

DDS

First Name

MARCIN

Middle

Last Name

JASEK

Business Name

MARCIN M JASEK DDS

Original Issue Date

05/29/2014

Effective Date

05/29/2014

Expiration Date

09/30/2015

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/08/2015