DONALD JOHN KOVACH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

DONALD JOHN

Last Name

KOVACH

Business Name

DONALD JOHN KOVACH

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60606

County

COOK

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/17/2005