MARIUSZ KAJETAN WRZOSEK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000930

License Status

ACTIVE

Business

First Name

MARIUSZ

Middle

KAJETAN

Last Name

WRZOSEK

Business Name

MARIUSZ KAJETAN WRZOSEK

Original Issue Date

08/18/2015

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

05/03/2024