YELENA M REVICH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026450

License Status

ACTIVE

Business

First Name

YELENA

Middle

Last Name

REVICH

Suffix

DDS

Business Name

YELENA M REVICH DDS

Original Issue Date

06/17/2004

Effective Date

08/18/2024

Expiration Date

09/30/2027

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

08/18/2024