HENRY J ANTOLAK II Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019983

License Status

INACTIVE

Business

First Name

HENRY J

Last Name

ANTOLAK II

Business Name

HENRY J ANTOLAK II

Original Issue Date

02/06/1985

Effective Date

02/06/1985

Expiration Date

09/30/1992

City

ROLLA

State

Zip

65401

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005