Dale Konrad Kostiwa
InactiveIllinois license 31*****35
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****35
- Status
- Inactive (Cancelled)
- First issued
- January 1, 1998
- Expired
- September 30, 2002
- License holder
- Dale Konrad Kostiwa
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III IV V
Other Illinois licenses under this name
-
IL
InactiveSt Charles, ILExpired Sep 30, 2002
-
IL
InactiveSt Charles, ILExpired Sep 30, 2002
Contact
St Charles, IL 60174
Kane County