DAVID S KRAVTSOV DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

KRAVTSOV

Suffix

DDS

Business Name

DAVID S KRAVTSOV DDS

Original Issue Date

07/11/1995

Effective Date

09/27/2018

Expiration Date

01/31/2022

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022