AMY JEAN KOBLISKA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

AMY

Middle

JEAN

Last Name

KOBLISKA

Business Name

AMY JEAN KOBLISKA

Original Issue Date

03/29/2018

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2024