RANDAL MARK KOWALSKE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017319

License Status

ACTIVE

Business

First Name

RANDAL MARK

Last Name

KOWALSKE

Business Name

RANDAL MARK KOWALSKE

Original Issue Date

07/15/1980

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2024