ALFRED W KOUTNIK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012849

License Status

NOT RENEWED

Business

First Name

ALFRED W

Last Name

KOUTNIK

Business Name

ALFRED W KOUTNIK

Original Issue Date

11/23/1965

Effective Date

11/23/1965

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005