COLBERN B JOSEFCHAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002304

License Status

ACTIVE

Business

First Name

COLBERN

Middle

Last Name

JOSEFCHAK

Business Name

COLBERN B JOSEFCHAK

Original Issue Date

06/05/2025

Effective Date

07/01/2025

Expiration Date

06/30/2029

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

05/08/2025