CHESTER P KLOS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

CHESTER P

Last Name

KLOS

Suffix

DDS

Business Name

CHESTER P KLOS DDS

Original Issue Date

11/16/2010

Effective Date

06/26/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60645

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022