KEITH MICHAEL ZOLLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013493

License Status

NOT RENEWED

Business

First Name

KEITH MICHAEL

Last Name

ZOLLA

Suffix

DDS

Business Name

KEITH MICHAEL ZOLLA DDS

Original Issue Date

07/16/1968

Effective Date

07/16/1968

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005