YELENA Y KOZLOVITSER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

YELENA

Middle

Last Name

KOZLOVITSER

Suffix

DDS

Business Name

YELENA Y KOZLOVITSER DDS

Original Issue Date

10/30/2003

Effective Date

08/06/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/06/2024