KRZYSZTOF TADEUS SLASKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000516

License Status

NOT RENEWED

Business

First Name

KRZYSZTOF TADEUS

Last Name

SLASKI

Business Name

KRZYSZTOF TADEUS SLASKI

Original Issue Date

02/05/2001

Effective Date

02/05/2001

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/08/2006