EDWARD JOSEPH KOZAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

EDWARD JOSEPH

Last Name

KOZAK

Suffix

DDS

Business Name

EDWARD JOSEPH KOZAK DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

LANSING

State

Zip

60438

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/13/2005