THOMAS W KACZYNSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

Title

DDS

First Name

THOMAS

Middle

Last Name

KACZYNSKI

Business Name

THOMAS W KACZYNSKI DDS

Original Issue Date

07/29/2013

Effective Date

07/09/2015

Expiration Date

09/30/2018

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018