KSENIA ANDRONOVA DDS - Dentist License in Illinois | # 137000686

KSENIA ANDRONOVA DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000686

License Status

ACTIVE

Business

N

First Name

KSENIA

Last Name

ANDRONOVA

Suffix

DDS

Business Name

KSENIA ANDRONOVA DDS

Original Issue Date

08/21/2006

Effective Date

08/14/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

08/14/2024