WAYNE S KARBAL

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****20

NOT RENEWED

N

WAYNE S

KARBAL

WAYNE S KARBAL

12/26/1989

12/26/1989

09/30/1994

HIGHLAND PARK

IL

60035

LAKE

II III IV V

N

10/13/2005