CHRIS ANTHONY KROLACK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

CHRIS ANTHONY

Last Name

KROLACK

Business Name

CHRIS ANTHONY KROLACK

Original Issue Date

03/30/1983

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

CRETE

State

Zip

60417

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018