THOMAS K POULAKIDAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013982

License Status

NOT RENEWED

Business

First Name

THOMAS K

Last Name

POULAKIDAS

Suffix

DDS

Business Name

THOMAS K POULAKIDAS DDS

Original Issue Date

12/07/1970

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006