EDDIE KIYOSHI BROTKOWSKI DDS - Dentist License in Illinois | # 019028722

EDDIE KIYOSHI BROTKOWSKI DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028722

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

EDDIE

Middle

KIYOSHI

Last Name

BROTKOWSKI

Business Name

EDDIE KIYOSHI BROTKOWSKI DDS

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012