THEODORE MICHAEL KOLCZAK - Dentist License in Illinois | # 019007227

THEODORE MICHAEL KOLCZAK

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019007227

License Status

NOT RENEWED

Business

N

First Name

THEODORE MICHAEL

Last Name

KOLCZAK

Business Name

THEODORE MICHAEL KOLCZAK

Original Issue Date

08/01/1935

Effective Date

08/01/1935

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005