ANTHONY ROBERT KOWALCZYK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

ANTHONY ROBERT

Last Name

KOWALCZYK

Suffix

DDS

Business Name

ANTHONY ROBERT KOWALCZYK DDS

Original Issue Date

01/01/1998

Effective Date

09/28/2009

Expiration Date

09/30/2012

City

MANHATTAN

State

Zip

60442

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012