ANASTASIA KOZAL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

Title

DMD

First Name

ANASTASIA

Last Name

KOZAL

Business Name

ANASTASIA KOZAL DMD

Original Issue Date

07/19/2022

Effective Date

05/28/2024

Expiration Date

09/30/2027

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/28/2024