JAY GERALD KOLB DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

JAY GERALD

Last Name

KOLB

Suffix

DDS

Business Name

JAY GERALD KOLB DDS

Original Issue Date

11/12/1996

Effective Date

11/12/1996

Expiration Date

09/30/1998

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005