ANGELINE STOTIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

ANGELINE

Last Name

STOTIS

Suffix

DDS

Business Name

ANGELINE STOTIS DDS

Original Issue Date

06/04/1982

Effective Date

06/04/1982

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005