MONIKA ANNA ANTOLAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015533

License Status

ACTIVE

Business

First Name

MONIKA

Middle

ANNA

Last Name

ANTOLAK

Business Name

MONIKA ANNA ANTOLAK

Original Issue Date

07/08/2016

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2024