GABRIELE MARTHA PIETSCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003755

License Status

NOT RENEWED

Business

First Name

GABRIELE MARTHA

Last Name

PIETSCH

Business Name

GABRIELE MARTHA PIETSCH

Original Issue Date

03/09/1979

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006