DANIEL F TYLKA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000006

License Status

NOT RENEWED

Business

First Name

DANIEL F

Last Name

TYLKA

Suffix

DMD

Business Name

DANIEL F TYLKA DMD

Original Issue Date

05/12/1990

Effective Date

05/12/1990

Expiration Date

08/17/1991

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

04/02/2013