LISA MOSTOWFI KONZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

LISA

Middle

MOSTOWFI

Last Name

KONZ

Suffix

DDS

Business Name

LISA MOSTOWFI KONZ DDS

Original Issue Date

08/12/1998

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024