SAMIR E RUVINOV DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

SAMIR

Middle

Last Name

RUVINOV

Suffix

DDS

Business Name

SAMIR E RUVINOV DDS

Original Issue Date

07/25/2018

Effective Date

11/23/2021

Expiration Date

09/30/2024

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025