MICHAEL TED KOSTAL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029683

License Status

ACTIVE

Business

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

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2024