ALAN J KOSSMAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

First Name

ALAN J

Last Name

KOSSMAN

Suffix

DDS

Business Name

ALAN J KOSSMAN DDS

Original Issue Date

10/28/1992

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024