MICHAEL A KOS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

KOS

Suffix

DDS

Business Name

MICHAEL A KOS DDS

Original Issue Date

11/20/1995

Effective Date

11/20/1995

Expiration Date

09/30/2002

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005