MICHAEL BASIL COSMOS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

ACTIVE

Business

Title

DMD

First Name

MICHAEL

Middle

BASIL

Last Name

COSMOS

Business Name

MICHAEL BASIL COSMOS DMD

Original Issue Date

06/03/2020

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024