DALE ALAN KOTOWSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016159

License Status

NOT RENEWED

Business

First Name

DALE ALAN

Last Name

KOTOWSKI

Suffix

DDS

Business Name

DALE ALAN KOTOWSKI DDS

Original Issue Date

10/06/1977

Effective Date

10/06/1977

Expiration Date

09/30/1988

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

10/12/2005