JEAN E GACEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001962

License Status

NOT RENEWED

Business

First Name

JEAN E

Last Name

GACEK

Business Name

JEAN E GACEK

Original Issue Date

07/11/1973

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

04/25/2016