KEITH JOHN GAZDA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019574

License Status

INACTIVE

Business

First Name

KEITH JOHN

Last Name

GAZDA

Business Name

KEITH JOHN GAZDA

Original Issue Date

07/12/1985

Effective Date

07/12/1985

Expiration Date

09/30/1994

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005