MARK A KEDZIERSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

KEDZIERSKI

Business Name

MARK A KEDZIERSKI

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005