DUANE JAMES CIBOCK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011803

License Status

NOT RENEWED

Business

First Name

DUANE JAMES

Last Name

CIBOCK

Suffix

DDS

Business Name

DUANE JAMES CIBOCK DDS

Original Issue Date

09/02/1960

Effective Date

09/02/1960

Expiration Date

04/01/1982

City

PORTAGE

State

Zip

46368

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005