MICHAEL THOMAS PATRICOSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

MICHAEL THOMAS

Last Name

PATRICOSKI

Business Name

MICHAEL THOMAS PATRICOSKI

Original Issue Date

08/23/1982

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025