VANJA COSIC DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

Title

DMD

First Name

VANJA

Last Name

COSIC

Business Name

VANJA COSIC DMD

Original Issue Date

06/09/2017

Effective Date

08/15/2018

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2023