MARK S RUSZKIEWICZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

RUSZKIEWICZ

Business Name

MARK S RUSZKIEWICZ

Original Issue Date

06/20/1988

Effective Date

06/20/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005