REBECCA THERESA BOSACK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

Title

DDS

First Name

REBECCA

Middle

THERESA

Last Name

BOSACK

Business Name

REBECCA THERESA BOSACK DDS

Original Issue Date

06/17/2009

Effective Date

07/31/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/31/2024