DAVID IRA KONICOV DDS - Dentist License in Illinois | # 019016822

DAVID IRA KONICOV DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016822

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005