KARINA A LYON GAVRILOV DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001053

License Status

NOT RENEWED

Business

First Name

KARINA

Middle

Last Name

LYON GAVRILOV

Suffix

DDS

Business Name

KARINA A LYON GAVRILOV DDS

Original Issue Date

07/21/1997

Effective Date

07/21/1997

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005