MICHAEL J KOSCINSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

KOSCINSKI

Suffix

DDS

Business Name

MICHAEL J KOSCINSKI DDS

Original Issue Date

12/18/1990

Effective Date

12/18/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022