SCOTT M KAZALLA - Dentist License in Illinois | # 019019827

SCOTT M KAZALLA

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019827

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005