ERIC ALLEN OSMOLINSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

Title

DMD

First Name

ERIC

Middle

ALLEN

Last Name

OSMOLINSKI

Business Name

ERIC ALLEN OSMOLINSKI DMD

Original Issue Date

04/12/2011

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016