ELENA GEORGIEVA IGNATOVA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

ELENA

Middle

GEORGIEVA

Last Name

IGNATOVA

Business Name

ELENA GEORGIEVA IGNATOVA

Original Issue Date

09/15/2011

Effective Date

09/15/2011

Expiration Date

09/30/2012

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012