DALE ALAN KOTOWSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

DALE ALAN

Last Name

KOTOWSKI

Suffix

DDS

Business Name

DALE ALAN KOTOWSKI DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005