SCOTT W PODLESH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023213

License Status

NOT RENEWED

Business

First Name

SCOTT W

Last Name

PODLESH

Suffix

DDS

Business Name

SCOTT W PODLESH DDS

Original Issue Date

04/19/1993

Effective Date

04/19/1993

Expiration Date

09/30/1996

City

WILLOWBROOK

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005