DENISE D BOZONELOS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

First Name

DENISE

Middle

Last Name

BOZONELOS

Suffix

DDS

Business Name

DENISE D BOZONELOS DDS

Original Issue Date

06/04/2024

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60462

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2024