TATIANA OSTANINA 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

First Name

TATIANA

Last Name

OSTANINA

Suffix

DDS

Business Name

TATIANA OSTANINA DDS

Original Issue Date

03/06/2001

Effective Date

03/06/2001

Expiration Date

09/30/2004

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005