TRACY LYNN CZACZKOWSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010205

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LYNN

Last Name

CZACZKOWSKI

Business Name

TRACY LYNN CZACZKOWSKI

Original Issue Date

11/07/2001

Effective Date

04/01/2016

Expiration Date

09/30/2018

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

10/31/2018