RENATA KOSIEK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

RENATA

Last Name

KOSIEK

Suffix

DDS

Business Name

RENATA KOSIEK DDS

Original Issue Date

12/17/2004

Effective Date

05/04/2024

Expiration Date

09/30/2027

City

BURBANK

State

Zip

60459

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2024