IGOR POZDNIAKOV DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

Title

DMD

First Name

IGOR

Last Name

POZDNIAKOV

Business Name

IGOR POZDNIAKOV DMD

Original Issue Date

08/21/2017

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022