Mark A Kolozenski Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

137000351

Status

Revoked or denied (Revoked)

First issued

March 15, 1994

Expired

September 30, 2012

License holder

Mark A Kolozenski Dds

Entity type

Individual

Classifications

• Dental Sedation Permit Dental

More from the license record

Specialty

Conscious Sedation, Parenteral

Current term began

08/31/2009

Ever disciplined

Yes

Discipline case

2002007174

Discipline action

Fine

Discipline reason

Conscious Sedation Permit Revoked in Connection With A 2002 Matter Relating to the Supervision of A Patient Undergoing Conscious Sedation and Fined in Connection With A 2002 Matter Relating to the Supervision of A Patient Undergoing Conscious Sedation.

Discipline dates

11/13/2012

Discipline action

Revocation

Other Illinois licenses under this name

• IL
  Mark A Kolozenski Dds

  License 019023298

  Licensed Dentist (Dental)
  Active

  Frankfort, IL

  Expires Sep 30, 2027
• IL
  Mark A Kolozenski Dds

  License 021001669

  Licensed Specialist in Dentistry (Dental)
  Active

  Frankfort, IL

  Expires Sep 30, 2027
• IL
  Mark A Kolozenski Dds

  License 31*****68

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Joliet, IL

  Expired Sep 30, 2000
• IL
  Mark A Kolozenski Dds

  License 31*****66

  Licensed Dentist Controlled Substance (Dental)
  Active

  Frankfort, IL

  Expires Sep 30, 2027
• IL
  Mark A Kolozenski Dds

  License 31*****67

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Orland Park, IL

  Expired Sep 30, 2015

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