ERIC ALLEN OSMOLINSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

Title

DMD

First Name

ERIC

Middle

ALLEN

Last Name

OSMOLINSKI

Business Name

ERIC ALLEN OSMOLINSKI DMD

Original Issue Date

09/22/2010

Effective Date

09/22/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/04/2013