STANLEY JAMES KACZALA DDS - Dentist License in Illinois | # 137000076

STANLEY JAMES KACZALA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000076

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

11/08/2006