INDRE GENEVICIUTE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

Title

DDS

First Name

INDRE

Last Name

GENEVICIUTE

Business Name

INDRE GENEVICIUTE DDS

Original Issue Date

10/14/2023

Effective Date

10/14/2023

Expiration Date

09/30/2024

City

LEMONT

State

Zip

60439

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025