IWONA ANNA LASAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011088

License Status

NOT RENEWED

Business

First Name

IWONA

Middle

ANNA

Last Name

LASAK

Business Name

IWONA ANNA LASAK

Original Issue Date

07/14/2004

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/09/2022