Edwin Thaddeus Kapustka

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019010130

Status

Expired (Not Renewed)

First issued

August 19, 1952

Expired

September 30, 1998

License holder

Edwin Thaddeus Kapustka

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

08/19/1952

Other Illinois licenses under this name

• IL
  Edwin Thaddeus Kapustka

  License 31*****70

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Niles, IL

  Expired Jun 1, 1982

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