HENRY JOSEPH ANTOLAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

HENRY JOSEPH

Last Name

ANTOLAK

Business Name

HENRY JOSEPH ANTOLAK

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

WESTCHESTER

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005