KELLY R KOZIOL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015140

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

KOZIOL

Business Name

KELLY R KOZIOL

Original Issue Date

07/27/2015

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/30/2024