ELIZABETH ANN KOSSAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029375

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

KOSSAK

Business Name

ELIZABETH ANN KOSSAK

Original Issue Date

05/20/2013

Effective Date

05/20/2013

Expiration Date

09/30/2015

City

GROSSE POINTE FARMS

State

Zip

48236

County

MICHIGAN

Ever Disciplined

LastModifiedDate

02/08/2016