BRYON RICHARD KOZAK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025556

License Status

ACTIVE

Business

First Name

BRYON

Middle

RICHARD

Last Name

KOZAK

Business Name

BRYON RICHARD KOZAK

Original Issue Date

06/07/2001

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

KENOSHA

State

Zip

53142

Ever Disciplined

LastModifiedDate

10/16/2024