JUDITH ANN IWASYK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002029

License Status

INACTIVE

Business

First Name

JUDITH ANN

Last Name

IWASYK

Business Name

JUDITH ANN IWASYK

Original Issue Date

07/11/1973

Effective Date

09/21/2009

Expiration Date

09/30/2012

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

06/06/2012