DENISE D BOZONELOS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

DENISE

Middle

Last Name

BOZONELOS

Suffix

DDS

Business Name

DENISE D BOZONELOS DDS

Original Issue Date

04/19/2023

Effective Date

05/02/2024

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

05/02/2024