TETYANA MELNYK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

TETYANA

Last Name

MELNYK

Business Name

TETYANA MELNYK

Original Issue Date

08/26/2008

Effective Date

07/15/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012