ALEXEY BOTIAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALEXEY

Last Name

BOTIAN

Business Name

ALEXEY BOTIAN DDS

Original Issue Date

01/01/1998

Effective Date

10/08/2015

Expiration Date

09/30/2018

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018