CASIMIR GEORGE BOLEWICZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

CASIMIR GEORGE

Last Name

BOLEWICZ

Business Name

CASIMIR GEORGE BOLEWICZ

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005