DANIELLA J CZERVIONKE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015889

License Status

ACTIVE

Business

First Name

DANIELLA

Middle

Last Name

CZERVIONKE

Business Name

DANIELLA J CZERVIONKE

Original Issue Date

08/01/2017

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/05/2024