CHRISTINA BOSAK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

First Name

CHRISTINA

Last Name

BOSAK

Suffix

DMD

Business Name

CHRISTINA BOSAK DMD

Original Issue Date

12/28/2007

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024