STANLEY JAMES KACZALA 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

Title

DDS

First Name

STANLEY

Middle

JAMES

Last Name

KACZALA

Business Name

STANLEY JAMES KACZALA DDS

Original Issue Date

06/16/1976

Effective Date

09/05/2012

Expiration Date

09/30/2015

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016