KEITH MICHAEL ZOLLA DDS - Dentist License in Illinois | # 019013493

KEITH MICHAEL ZOLLA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013493

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005