LYUDMILA ROMANOVNA TAVOLZHANSKAYA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027079

License Status

ACTIVE

Business

First Name

LYUDMILA

Middle

ROMANOVNA

Last Name

TAVOLZHANSKAYA

Business Name

LYUDMILA ROMANOVNA TAVOLZHANSKAYA

Original Issue Date

06/20/2006

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

09/09/2024