MARK WAWRZAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001629

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

WAWRZAK

Suffix

DDS

Business Name

MARK WAWRZAK DDS

Original Issue Date

09/15/1992

Effective Date

10/11/2011

Expiration Date

09/30/2012

City

PLATTEVILLE

State

Zip

53818

County

WISCONSIN

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

11/14/2012