HENRY M SMIALEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016400

License Status

NOT RENEWED

Business

First Name

HENRY M

Last Name

SMIALEK

Suffix

DDS

Business Name

HENRY M SMIALEK DDS

Original Issue Date

07/06/1978

Effective Date

07/06/1978

Expiration Date

09/30/1998

City

FOND DU LAC

State

Zip

54935

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005