JAY GERALD KOLB DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

First Name

JAY GERALD

Last Name

KOLB

Suffix

DDS

Business Name

JAY GERALD KOLB DDS

Original Issue Date

05/16/1990

Effective Date

05/16/1990

Expiration Date

09/30/1998

City

LOMBARD

State

Zip

60418

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005