JEROME J KOZIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011550

License Status

NOT RENEWED

Business

First Name

JEROME J

Last Name

KOZIE

Suffix

DDS

Business Name

JEROME J KOZIE DDS

Original Issue Date

08/11/1959

Effective Date

08/11/1959

Expiration Date

09/30/1994

City

DEERFIELD

State

Zip

60015

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005