TOM KLACZAK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035275

License Status

ACTIVE

Business

Title

DMD

First Name

TOM

Last Name

KLACZAK

Business Name

TOM KLACZAK DMD

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

09/30/2027

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

08/18/2025