BEATA REGINA DEVIRION DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

BEATA REGINA

Last Name

DEVIRION

Suffix

DDS

Business Name

BEATA REGINA DEVIRION DDS

Original Issue Date

09/14/1993

Effective Date

09/25/2012

Expiration Date

09/30/2015

City

MT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016