ERIC ALLEN OSMOLINSKI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

Title

DMD

First Name

ERIC

Middle

ALLEN

Last Name

OSMOLINSKI

Business Name

ERIC ALLEN OSMOLINSKI DMD

Original Issue Date

09/29/2010

Effective Date

09/29/2010

Expiration Date

09/30/2012

City

JOLIET

State

Zip

60431

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012