JAY GERALD KOLB DDS - Dentist License in Illinois | # 021000750

JAY GERALD KOLB DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000750

License Status

INACTIVE

Business

N

First Name

JAY GERALD

Last Name

KOLB

Suffix

DDS

Business Name

JAY GERALD KOLB DDS

Original Issue Date

12/13/1972

Effective Date

08/10/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018