JUDITH CECELIA KUSEK DDS PHD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013152

License Status

NOT RENEWED

Business

First Name

JUDITH CECELIA

Last Name

KUSEK

Suffix

DDS MD

Business Name

JUDITH CECELIA KUSEK DDS PHD

Original Issue Date

07/20/1967

Effective Date

07/20/1967

Expiration Date

09/30/1984

City

SOUTH BEND

State

Zip

46617

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005