MARK EDWARD KOSELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

MARK EDWARD

Last Name

KOSELL

Suffix

DDS

Business Name

MARK EDWARD KOSELL DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005