MARVIN KOZLOV - Dentist License in Illinois | # 019010535

MARVIN KOZLOV

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010535

License Status

NOT RENEWED

Business

N

First Name

MARVIN

Last Name

KOZLOV

Business Name

MARVIN KOZLOV

Original Issue Date

01/01/1998

Effective Date

06/18/2015

Expiration Date

09/30/2018

City

GRAYSLAKE

State

IL

Zip

60030

County

LAKE

Ever Disciplined

Y

LastModifiedDate

10/31/2018

Case Number

1981000004

Action

Probation

Discipline Start Date

08/26/1992

Discipline End Date

08/26/1994

Discipline Reason

Restored and placed on probation for two years.