KSENIA ANDRONOVA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000686

License Status

ACTIVE

Business

First Name

KSENIA

Last Name

ANDRONOVA

Suffix

DDS

Business Name

KSENIA ANDRONOVA DDS

Original Issue Date

08/21/2006

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

08/14/2024