R ANDREW KOKODYNSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000813

License Status

NOT RENEWED

Business

First Name

R ANDREW

Last Name

KOKODYNSKI

Suffix

DDS

Business Name

R ANDREW KOKODYNSKI DDS

Original Issue Date

08/31/1994

Effective Date

08/31/1994

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005