BART JOHN KOSTRUBALA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011419

License Status

NOT RENEWED

Business

First Name

BART JOHN

Last Name

KOSTRUBALA

Business Name

BART JOHN KOSTRUBALA

Original Issue Date

01/07/1959

Effective Date

07/05/2012

Expiration Date

09/30/2015

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016