MARK A KOLOZENSKI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

MARK A

Last Name

KOLOZENSKI

Suffix

DDS

Business Name

MARK A KOLOZENSKI DDS

Original Issue Date

11/01/1993

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024