PETER A KICS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000847

License Status

NOT RENEWED

Business

First Name

PETER A

Last Name

KICS

Suffix

DDS

Business Name

PETER A KICS DDS

Original Issue Date

06/24/1995

Effective Date

06/24/1995

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005