BRENT JEFFREY VARSHAWSKY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

BRENT JEFFREY

Last Name

VARSHAWSKY

Business Name

BRENT JEFFREY VARSHAWSKY

Original Issue Date

06/26/1985

Effective Date

06/26/1985

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005