GEORGE J COZZOLINO D D S Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

INOPERATIVE

Business

First Name

GEORGE J

Last Name

COZZOLINO D D S

Business Name

GEORGE J COZZOLINO D D S

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60644

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005