DANIEL ALLEN CZAPEK

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****14

NOT RENEWED

N

DANIEL ALLEN

CZAPEK

DANIEL ALLEN CZAPEK

08/27/1985

08/27/1985

09/30/1998

WHEELING

IL

60090

COOK

II III IV V

N

10/13/2005