CLEMENT RICHARD JASIEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000377

License Status

NOT RENEWED

Business

First Name

CLEMENT RICHARD

Last Name

JASIEK

Suffix

DDS

Business Name

CLEMENT RICHARD JASIEK DDS

Original Issue Date

11/21/1962

Effective Date

11/21/1962

Expiration Date

09/30/1994

City

LASALLE

State

Zip

61301

County

LA SALLE

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/13/2005