DOMINIK WIETRZYNSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028405

License Status

NOT RENEWED

Business

First Name

DOMINIK

Last Name

WIETRZYNSKI

Business Name

DOMINIK WIETRZYNSKI

Original Issue Date

07/07/2010

Effective Date

07/07/2010

Expiration Date

09/30/2012

City

SHELBY TOWNSHIP

State

Zip

48315

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/14/2012