HENRY JOSEPH ANTOLAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010466

License Status

NOT RENEWED

Business

First Name

HENRY JOSEPH

Last Name

ANTOLAK

Business Name

HENRY JOSEPH ANTOLAK

Original Issue Date

08/05/1954

Effective Date

08/05/1954

Expiration Date

09/30/1996

City

WESTCHESTER

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005