WALTER JOHN KOZIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

WALTER

Middle

JOHN

Last Name

KOZIN

Suffix

DDS

Business Name

WALTER JOHN KOZIN DDS

Original Issue Date

11/08/2000

Effective Date

10/12/2017

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018