VERONIKA URBAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

VERONIKA

Last Name

URBAN

Business Name

VERONIKA URBAN

Original Issue Date

06/22/1994

Effective Date

11/05/2013

Expiration Date

09/30/2015

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016