RICHARD MICHAEL DZIAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015962

License Status

NOT RENEWED

Business

First Name

RICHARD MICHAEL

Last Name

DZIAK

Suffix

DDS

Business Name

RICHARD MICHAEL DZIAK DDS

Original Issue Date

06/27/1977

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

LONG BEACH

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

05/09/2022