MICHAEL STEVEN STOSICH 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

MICHAEL

Middle

STEVEN

Last Name

STOSICH

Business Name

MICHAEL STEVEN STOSICH DMD

Original Issue Date

03/18/2015

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/09/2022