EDMUND C KOWALIK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

EDMUND C

Last Name

KOWALIK

Suffix

DDS

Business Name

EDMUND C KOWALIK DDS

Original Issue Date

01/01/1998

Effective Date

08/24/2009

Expiration Date

09/30/2012

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/14/2012