STANLEY JAMES KACZALA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

Title

DDS

First Name

STANLEY

Middle

JAMES

Last Name

KACZALA

Business Name

STANLEY JAMES KACZALA DDS

Original Issue Date

12/01/1989

Effective Date

12/01/1989

Expiration Date

09/30/1994

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005