ANNA MARIE PELAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004626

License Status

NOT RENEWED

Business

First Name

ANNA MARIE

Last Name

PELAK

Business Name

ANNA MARIE PELAK

Original Issue Date

07/21/1981

Effective Date

07/21/1981

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005