JERRILYNN ANN MAZURK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002867

License Status

NOT RENEWED

Business

First Name

JERRILYNN ANN

Last Name

MAZURK

Business Name

JERRILYNN ANN MAZURK

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1998

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/12/2005