MICHAEL JON SPIEWAK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016942

License Status

INACTIVE

Business

First Name

MICHAEL JON

Last Name

SPIEWAK

Suffix

DDS

Business Name

MICHAEL JON SPIEWAK DDS

Original Issue Date

08/30/1979

Effective Date

08/30/1979

Expiration Date

09/30/2000

City

MIDDLETON

State

Zip

53562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005