MARK WAWRZAK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021722

License Status

INACTIVE

Business

First Name

MARK

Last Name

WAWRZAK

Suffix

DDS

Business Name

MARK WAWRZAK DDS

Original Issue Date

09/02/1989

Effective Date

10/11/2011

Expiration Date

09/30/2012

City

PLATTEVILLE

State

Zip

53818

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/06/2012