KRZYSZTOF TADEUS SLASKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

KRZYSZTOF TADEUS

Last Name

SLASKI

Business Name

KRZYSZTOF TADEUS SLASKI

Original Issue Date

01/31/1984

Effective Date

01/31/1984

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006