ANDREW B KASSARABA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

ANDREW B

Last Name

KASSARABA

Business Name

ANDREW B KASSARABA

Original Issue Date

08/04/1982

Effective Date

08/04/1982

Expiration Date

09/30/1996

City

NILES

State

Zip

60714

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005