MARISSA E DZIEPAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031542

License Status

ACTIVE

Business

First Name

MARISSA

Middle

Last Name

DZIEPAK

Business Name

MARISSA E DZIEPAK

Original Issue Date

03/20/2018

Effective Date

06/05/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

06/05/2024