GUNTHER JULIUS KAZALLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

GUNTHER JULIUS

Last Name

KAZALLA

Suffix

DDS

Business Name

GUNTHER JULIUS KAZALLA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

WORTH

State

Zip

60482

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005