JEROME J KOZIE DDS - Dentist License in Illinois | # 019011550

JEROME J KOZIE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011550

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005