SERGEY BORISOVICH DOLGOV 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

SERGEY

Middle

BORISOVICH

Last Name

DOLGOV

Suffix

DDS

Business Name

SERGEY BORISOVICH DOLGOV DDS

Original Issue Date

03/12/2015

Effective Date

03/12/2015

Expiration Date

09/30/2015

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/08/2016