CAROL B CZERNIAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007775

License Status

NOT RENEWED

Business

First Name

CAROL B

Last Name

CZERNIAK

Business Name

CAROL B CZERNIAK

Original Issue Date

07/22/1992

Effective Date

07/22/1992

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005