ANTHONY JOHN CHIDALEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010122

License Status

NOT RENEWED

Business

First Name

ANTHONY JOHN

Last Name

CHIDALEK

Business Name

ANTHONY JOHN CHIDALEK

Original Issue Date

08/19/1952

Effective Date

08/19/1952

City

LA PORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005