RICHARD J OSMANSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

RICHARD J

Last Name

OSMANSKI

Business Name

RICHARD J OSMANSKI

Original Issue Date

09/11/1989

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009