GARY M RADZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000615

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

RADZ

Business Name

GARY M RADZ

Original Issue Date

06/15/1992

Effective Date

06/15/1992

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005