ROBERT S KOZELKA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

ROBERT S

Last Name

KOZELKA

Suffix

DDS

Business Name

ROBERT S KOZELKA DDS

Original Issue Date

01/01/1998

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025