DENNIS CHARLES KOSTAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

DENNIS CHARLES

Last Name

KOSTAL

Business Name

DENNIS CHARLES KOSTAL

Original Issue Date

01/01/1998

Effective Date

07/30/2018

Expiration Date

01/31/2022

City

YORKVILLE

State

Zip

60560

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022