TERESA KOSMAC DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

TERESA

Last Name

KOSMAC

Suffix

DMD

Business Name

TERESA KOSMAC DMD

Original Issue Date

03/15/1991

Effective Date

03/15/1991

Expiration Date

09/30/1994

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005