STANLEY JAMES KACZALA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000076

License Status

NOT RENEWED

Business

Title

DDS

First Name

STANLEY

Middle

JAMES

Last Name

KACZALA

Business Name

STANLEY JAMES KACZALA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

11/08/2006