KENNETH J KADZIELA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

KENNETH J

Last Name

KADZIELA

Business Name

KENNETH J KADZIELA

Original Issue Date

09/18/1986

Effective Date

06/24/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

06/24/2024