MICHAEL TED KOSTAL DDS - Dentist License in Illinois | # 019029683

MICHAEL TED KOSTAL DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029683

License Status

ACTIVE

Business

N

First Name

MICHAEL

Middle

TED

Last Name

KOSTAL

Suffix

DDS

Business Name

MICHAEL TED KOSTAL DDS

Original Issue Date

11/22/2013

Effective Date

09/23/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/23/2024