MARK S KUCHTA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000643

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARK

Middle

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

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005