SERGEY BORISOVICH DOLGOV DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000176

License Status

NOT RENEWED

Business

First Name

SERGEY

Middle

BORISOVICH

Last Name

DOLGOV

Suffix

DDS

Business Name

SERGEY BORISOVICH DOLGOV DDS

Original Issue Date

06/04/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

01/07/2016