GARY M RADZ - Dentist License in Illinois | # 018000615

GARY M RADZ

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000615

License Status

NOT RENEWED

Business

N

First Name

GARY

Middle

M

Last Name

RADZ

Business Name

GARY M RADZ

Original Issue Date

06/15/1992

Effective Date

06/15/1992

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005