MARY PATRICIA PIASECKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002196

License Status

NOT RENEWED

Business

First Name

MARY

Middle

PATRICIA

Last Name

PIASECKI

Business Name

MARY PATRICIA PIASECKI

Original Issue Date

07/03/1974

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/31/2018