MARK S KUCHTA DDS - Dentist License in Illinois | # 018000643

MARK S KUCHTA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000643

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

MARK

Middle

S

Last Name

KUCHTA

Business Name

MARK S KUCHTA DDS

Original Issue Date

07/10/1992

Effective Date

07/10/1992

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005