GEOFFREY R WARDA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001865

License Status

NOT RENEWED

Business

First Name

GEOFFREY R

Last Name

WARDA

Business Name

GEOFFREY R WARDA

Original Issue Date

10/27/1997

Effective Date

10/27/1997

Expiration Date

09/30/1998

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/17/2005