SCOTT M KAZALLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019827

License Status

NOT RENEWED

Business

First Name

SCOTT M

Last Name

KAZALLA

Business Name

SCOTT M KAZALLA

Original Issue Date

09/20/1985

Effective Date

09/20/1985

Expiration Date

09/30/1988

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005