STANLEY JAMES KACZALA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000534

License Status

INACTIVE

Business

Title

DDS

First Name

STANLEY

Middle

JAMES

Last Name

KACZALA

Business Name

STANLEY JAMES KACZALA DDS

Original Issue Date

12/07/1967

Effective Date

08/27/2009

Expiration Date

09/30/2012

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

06/06/2012