KENNETH R TILASHALSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024172

License Status

NOT RENEWED

Business

First Name

KENNETH R

Last Name

TILASHALSKI

Suffix

DMD

Business Name

KENNETH R TILASHALSKI DMD

Original Issue Date

07/02/1996

Effective Date

07/02/1996

Expiration Date

09/30/1996

City

HOOVER

State

Zip

35226

County

ALABAMA

Ever Disciplined

LastModifiedDate

10/12/2005