MICHAEL BASIL COSMOS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032569

License Status

ACTIVE

Business

Title

DMD

First Name

MICHAEL

Middle

BASIL

Last Name

COSMOS

Business Name

MICHAEL BASIL COSMOS DMD

Original Issue Date

05/22/2020

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/15/2024