DAWN D KOVAC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

DAWN D

Last Name

KOVAC

Business Name

DAWN D KOVAC

Original Issue Date

10/23/1986

Effective Date

10/23/1986

Expiration Date

09/30/1988

City

WESTCHESTER

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005