JAMES BENNY KOWALCZYK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015397

License Status

NOT RENEWED

Business

First Name

JAMES BENNY

Last Name

KOWALCZYK

Suffix

DMD

Business Name

JAMES BENNY KOWALCZYK DMD

Original Issue Date

02/13/1976

Effective Date

06/06/2012

Expiration Date

09/30/2015

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

02/08/2016