KAMELIA G RADEVA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

KAMELIA

Middle

Last Name

RADEVA

Suffix

DDS

Business Name

KAMELIA G RADEVA DDS

Original Issue Date

07/25/2000

Effective Date

07/25/2000

Expiration Date

09/30/2002

City

LITCHFIELD

State

Zip

62056

County

MACOUPIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005