DENISE KOZLOFF ALFASSA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001999

License Status

NOT RENEWED

Business

First Name

DENISE KOZLOFF

Last Name

ALFASSA

Business Name

DENISE KOZLOFF ALFASSA

Original Issue Date

07/11/1973

Effective Date

09/12/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022