JEROME J KOZIE DDS - Dentist License in Illinois | # 021000402

JEROME J KOZIE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000402

License Status

NOT RENEWED

Business

N

First Name

JEROME J

Last Name

KOZIE

Suffix

DDS

Business Name

JEROME J KOZIE DDS

Original Issue Date

11/22/1963

Effective Date

11/22/1963

Expiration Date

09/30/1986

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/13/2005