DAVID IRA KONICOV DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016822

License Status

NOT RENEWED

Business

First Name

DAVID IRA

Last Name

KONICOV

Suffix

DDS

Business Name

DAVID IRA KONICOV DDS

Original Issue Date

07/13/1979

Effective Date

07/13/1979

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005