THEODORE MICHAEL KOLCZAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019007227

License Status

NOT RENEWED

Business

First Name

THEODORE MICHAEL

Last Name

KOLCZAK

Business Name

THEODORE MICHAEL KOLCZAK

Original Issue Date

08/01/1935

Effective Date

08/01/1935

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005