MARK A KOLOZENSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

MARK A

Last Name

KOLOZENSKI

Suffix

DDS

Business Name

MARK A KOLOZENSKI DDS

Original Issue Date

03/02/1995

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016