KATHY P BREITOWICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000562

License Status

NOT RENEWED

Business

First Name

KATHY P

Last Name

BREITOWICH

Suffix

DDS

Business Name

KATHY P BREITOWICH DDS

Original Issue Date

07/03/1991

Effective Date

07/03/1991

Expiration Date

06/30/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005