MARISSA E DZIEPAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002906

License Status

ACTIVE

Business

First Name

MARISSA

Middle

Last Name

DZIEPAK

Business Name

MARISSA E DZIEPAK

Original Issue Date

10/01/2018

Effective Date

06/05/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

06/05/2024