GUSTAV ROBERT KOZINA DDS Dentist License verification

GUSTAV ROBERT KOZINA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

GUSTAV

Middle

ROBERT

Last Name

KOZINA

Suffix

DDS

Business Name

GUSTAV ROBERT KOZINA DDS

Original Issue Date

01/01/1998

Effective Date

09/28/2018

Expiration Date

01/31/2022

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022

Case Number

2000007672

Action

Suspension

Discipline Start Date

07/11/2002

Discipline End Date

01/10/2003

Discipline Reason

Failed to properly supervise the ordering of controlled substances in his dental office, and failed to maintain proper purchase records and dispensing logs of controlled substances.