JAY GERALD KOLB DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

INACTIVE

Business

First Name

JAY GERALD

Last Name

KOLB

Suffix

DDS

Business Name

JAY GERALD KOLB DDS

Original Issue Date

01/01/1998

Effective Date

08/10/2009

Expiration Date

09/30/2012

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2012