CRAIG J KOSTRUBALA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

CRAIG J

Last Name

KOSTRUBALA

Suffix

DDS

Business Name

CRAIG J KOSTRUBALA DDS

Original Issue Date

09/10/1993

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

ALSIP

State

Zip

60803

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2025