LARISA SPIRTOVIC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

Title

DDS

First Name

LARISA

Last Name

SPIRTOVIC

Business Name

LARISA SPIRTOVIC DDS

Original Issue Date

05/28/2009

Effective Date

08/25/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018