MARK A KOLOZENSKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

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

03/02/1995

Expiration Date

09/30/2000

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005