DAWN R KRUSINSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011091

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

KRUSINSKI

Business Name

DAWN R KRUSINSKI

Original Issue Date

07/19/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006