DANIEL RAYMOND KOZICKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016502

License Status

NOT RENEWED

Business

First Name

DANIEL RAYMOND

Last Name

KOZICKI

Suffix

DDS

Business Name

DANIEL RAYMOND KOZICKI DDS

Original Issue Date

08/04/1978

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018