GERALD RAYMOND DUSZA DDS - Dentist License in Illinois | # 021000620

GERALD RAYMOND DUSZA DDS

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000620

License Status

INOPERATIVE

Business

N

First Name

GERALD RAYMOND

Last Name

DUSZA

Suffix

DDS

Business Name

GERALD RAYMOND DUSZA DDS

Original Issue Date

12/08/1969

Effective Date

12/08/1969

Expiration Date

09/30/2002

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/17/2005