MICHELLE HELENA BANASIAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015614

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

HELENA

Last Name

BANASIAK

Business Name

MICHELLE HELENA BANASIAK

Original Issue Date

07/27/2016

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

09/24/2024