Dale Konrad Kostiwa

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

021000487

Status

Inactive

First issued

November 23, 1965

Expired

September 30, 2002

License holder

Dale Konrad Kostiwa

Entity type

Individual

Classifications

• Licensed Specialist in Dentistry (Dental) Dental

More from the license record

Specialty

Orthodontics

Current term began

11/23/1965

Other Illinois licenses under this name

• IL
  Dale Konrad Kostiwa

  License 019011671

  Licensed Dentist (Dental)
  Inactive

  St Charles, IL

  Expired Sep 30, 2002
• IL
  Dale Konrad Kostiwa

  License 31*****35

  Licensed Dentist Controlled Substance (Dental)
  Inactive

  St Charles, IL

  Expired Sep 30, 2002

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