JEROME J KOZIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000402

License Status

NOT RENEWED

Business

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

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005