CONSTANTINE MILTCHEV COSTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013011

License Status

NOT RENEWED

Business

First Name

CONSTANTINE

Middle

MILTCHEV

Last Name

COSTA

Business Name

CONSTANTINE MILTCHEV COSTA

Original Issue Date

07/28/2009

Effective Date

09/18/2012

Expiration Date

09/30/2015

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016