LYNN KANTZAVELOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

LYNN

Last Name

KANTZAVELOS

Business Name

LYNN KANTZAVELOS

Original Issue Date

11/07/1989

Effective Date

11/07/1989

Expiration Date

09/30/1994

City

OAK BROOK TERRACE

State

Zip

60181

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005