ALEXANDRIA LAUREN ROZGONY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

Title

DMD

First Name

ALEXANDRIA

Middle

LAUREN

Last Name

ROZGONY

Business Name

ALEXANDRIA LAUREN ROZGONY DMD

Original Issue Date

06/04/2020

Effective Date

06/04/2020

Expiration Date

01/31/2022

City

NAPERVILLE

State

Zip

60564

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022