DAWN M KETCHIK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003526

License Status

INACTIVE

Business

First Name

DAWN M

Last Name

KETCHIK

Business Name

DAWN M KETCHIK

Original Issue Date

06/20/1978

Effective Date

06/20/1978

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005