STACEY D KOSLOSKUS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011725

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

KOSLOSKUS

Business Name

STACEY D KOSLOSKUS

Original Issue Date

06/26/2006

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2024