HENRY JOSEPH ANTOLAK - Dentist License in Illinois | # 019010466

HENRY JOSEPH ANTOLAK

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010466

License Status

NOT RENEWED

Business

N

First Name

HENRY JOSEPH

Last Name

ANTOLAK

Business Name

HENRY JOSEPH ANTOLAK

Original Issue Date

08/05/1954

Effective Date

08/05/1954

Expiration Date

09/30/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005