TIMOTHY JOHN KICZENSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014334

License Status

NOT RENEWED

Business

Title

DDS

First Name

TIMOTHY

Middle

JOHN

Last Name

KICZENSKI

Business Name

TIMOTHY JOHN KICZENSKI DDS

Original Issue Date

07/12/1972

Effective Date

11/17/2015

Expiration Date

09/30/2018

City

BENSENVILLE

State

Zip

60106

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/31/2018