GUSTAV ROBERT KOZINA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

GUSTAV

Middle

ROBERT

Last Name

KOZINA

Suffix

DDS

Business Name

GUSTAV ROBERT KOZINA DDS

Original Issue Date

10/28/2021

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

BEACH PARK

State

Zip

60087

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

08/27/2024