MARY PAULINE MISJAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004976

License Status

NOT RENEWED

Business

First Name

MARY

Middle

PAULINE

Last Name

MISJAK

Business Name

MARY PAULINE MISJAK

Original Issue Date

08/03/1982

Effective Date

08/03/1982

Expiration Date

09/30/1994

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005