SIMON BOYARSKIY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001070

License Status

NOT RENEWED

Business

First Name

SIMON

Last Name

BOYARSKIY

Suffix

DDS

Business Name

SIMON BOYARSKIY DDS

Original Issue Date

08/18/1997

Effective Date

08/18/1997

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005